Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bernard Walter Douglas, MD

Individual provider Pediatrics Physician · NPI 1417062399

Bernard Walter Douglas, MD is a Pediatrics Physician in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2006.

Licensed in
NE
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16128 Davenport St
Omaha, NE 68118-4046
Phone: (402) 578-2645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 17338 (NE)

Record details

NPI number1417062399
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJanuary 14, 2016
Mailing address16128 Davenport St, Omaha, NE 68118-4046

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