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JACOB MATTHEW BAZAR
NPI 1831998483
Clinic/Center - Developmental Disabilities in Ralston, NE

Active since March 07, 2025
5720 S 77TH ST, RALSTON, NE 68127(531) 200-0563 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Matthew Bazar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MATTHEW BAZAR (NPI 1831998483) is an individual developmental disabilities provider in Ralston, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1831998483
Entity TypeIndividualMale
Primary Taxonomy261QD1600X
Provider Legal NameJACOB MATTHEW BAZAR
Location Address5720 S 77TH STRalston, NE 68127-4202
Mailing Address5720 S 77th StRalston, NE 68127-4202 · (531) 200-0563
Phone(531) 200-0563
Sole ProprietorYes
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1831998483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
5720 S 77TH ST, Ralston, NE 68127
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LEIGH MOSITES
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563
SUSAN LAMARR MIXAN
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563
MARK MAXWELL RAUTERKUS
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563
TERESA R ROBERSON
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563
JILL WARD
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563
CONTESSE' FLEMING
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563
KAREN LYNN POWERS
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563
JAMES JACKSON
Clinic/Center (Developmental Disabilities)
5720 S 77TH ST
RALSTON, NE 68127
Douglas County (531) 200-0563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Bazar's NPI number?

The NPI number for Jacob Bazar is 1831998483. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Jacob Bazar located?

Jacob Bazar practices at 5720 S 77th St, Ralston, NE 68127. The listed phone number is (531) 200-0563.

What is Jacob Bazar's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Jacob Bazar was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.