Dr. Robert R Nystrom, D.O.
Dr. Robert R Nystrom is a General Practice Physician provider (General Practice) practicing in Greeley, CO, registered in the NPPES registry with NPI 1902936107 since 2007. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902936107 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Robert R Nystrom |
| Credential | D.O. |
| Sex | Male |
| Practice address | 1900 16TH ST, Greeley, CO, 80631 |
| Phone | 9703502471 |
| Fax | 9703502418 |
| Enumeration date | 2007-03-06 |
| Last updated in NPPES | 2012-05-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | 30464 | CO |
| 208D00000X | General Practice Physician | Primary | 30464 | CO |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1304641 | Medicaid | CO | — |
| P00931173 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
Copy-ready billing details
Provider: Robert Nystrom, D.O. NPI: 1902936107 Taxonomy: 208D00000X (General Practice Physician) Address: 1900 16TH ST, Greeley, CO, 80631
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356349823 | Marcus Reinhardt | Individual | Internal Medicine Physician | Greeley, CO |
| 1336124700 | Greeley Medical Clinic | Organization | General Practice Physician | Greeley, CO |
| 1730166687 | Mark Berntsen | Individual | Internal Medicine Physician | Greeley, CO |
| 1649257544 | John Ebens | Individual | Internal Medicine Physician | Greeley, CO |
| 1285611152 | Robert Cash | Individual | Internal Medicine Physician | Greeley, CO |
| 1154309011 | Lesley Fraser | Individual | Surgery Physician | Greeley, CO |
| 1881672756 | Brent Grauerholz | Individual | Family Medicine Physician | Greeley, CO |
| 1508844473 | Mark Grossnickle | Individual | Orthopaedic Surgery Physician | Greeley, CO |
Verify this record
Cross-check NPI 1902936107 against the authoritative CMS record: view Dr. Robert R Nystrom on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-05-02.