Provider Demographics
NPI:1104716752
Name:BAIER, GERALD LEE
Entity type:Individual
Prefix:MR
First Name:GERALD
Middle Name:LEE
Last Name:BAIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9504 S 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68147-2545
Mailing Address - Country:US
Mailing Address - Phone:402-709-8805
Mailing Address - Fax:
Practice Address - Street 1:209 GALVIN RD N
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-4852
Practice Address - Country:US
Practice Address - Phone:402-709-8805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion