Individual provider · Type 1 NPI

Dada Broohm

Contractor · Omaha, NE

NPI number 1407730096 Active

Practice location

11069 I St
Omaha, NE 68137-1207

Mailing address

2911 N 152nd St
Omaha, NE 68116-8138

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1407730096

Dada Broohm's National Provider Identifier is 1407730096, issued on Aug 5, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Omaha, NE. The record was last updated on Aug 5, 2025.