Provider Demographics
NPI:1144479957
Name:BERAN, CASEY DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:DEAN
Last Name:BERAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 N 30TH ST
Mailing Address - Street 2:CREIGHTON UNIVERSITY MEDICAL CENTER, SUITE 2300
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-280-4342
Mailing Address - Fax:402-280-4584
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:CREIGHTON UNIVERSITY MEDICAL CENTER, SUITE 2300
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-280-4342
Practice Address - Fax:402-280-4584
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE25643207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-037658373Medicaid
NE099256009Medicare PIN