BRYAN MEDICAL CENTER (NPI# 1134216773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134216773 |
| Entity Type | Organization |
| Organization Name | BRYAN MEDICAL CENTER |
| Practice Address |
2300 S 16th St Lincoln NE 68502-3780 |
| Mailing Address |
1600 S 48th St Lincoln NE 68506-1299 |
| Practice Telephone | 4024751011 |
| Mailing Telephone | 4024815792 |
| Mailing Fax Number | 4024814755 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | MR. JOHN T. WOODRICH (PRESIDENT & COO) |
| Authorized Official Telephone | 4024813548 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRYAN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 500003 | NE | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BC/BS PROVIDER NUMBER | 611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384370 | Bryan Medical Center | Radiology | 3901 Pine Lake Rd Ste 110, Lincoln, NE 68516-5497 | 2020-07-28 |
| 1689203077 | Bryan Medical Center | Clinical Medical Laboratory | 2221 S 17th St, Ste 100, Lincoln, NE 68502-3763 | 2020-04-07 |
| 1740831106 | Bryan Medical Center | Dietitian, Registered | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-09-26 |
| 1366975153 | Bryan Medical Center | General Acute Care Hospital | 2300 S 16th St, Lincoln, NE 68502-3704 | 2017-04-07 |
| 1497809966 | Bryan Medical Center | Psychologist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2007-01-22 |
| 1184786295 | Bryan Medical Center | Durable Medical Equipment & Medical Supplies | 1600 S 48th St, Lincoln, NE 68506-1299 | 2006-12-14 |
| 1629157789 | Bryan Medical Center | Surgery | 1600 S 48th St, Lincoln, NE 68506-1283 | 2006-11-02 |
| 1043390438 | Bryan Medical Center | Rehabilitation Unit | 2300 S 16th St, Lincoln, NE 68502-3780 | 2006-10-17 |
| 1528006103 | Bryan Medical Center | General Acute Care Hospital | 1600 S 48th St, Lincoln, NE 68506-1299 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRYAN MEDICAL CENTER | 1600 S 48th St, Lincoln, NE 68506-1283 |
| Iowa Business Entities | BRYAN MEDICAL CENTER | 1600 S 48th St, Lincoln, NE 68506 |
| Street Address |
2300 S 16TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68502-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725358 | Inpatient Physician Associates, LLC | Internal Medicine | 2300 S 16th St, Lincoln, NE 68502-3704 | 2006-05-11 |
| 1154922516 | Kinzy Krafka | 2300 S 16th St, Lincoln, NE 68502-3704 | 2020-11-03 | |
| 1811513583 | Zachary Strohm | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2020-06-18 |
| 1902420847 | Katelyn Kristine Espinoza | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2020-06-06 |
| 1578191037 | Mark Rademacker | Pharmacist | 2300 S 16th St, Lincoln, NE 68502-3780 | 2020-03-31 |
| 1376177287 | Ilmihana Smlatic | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2020-02-29 |
| 1750911020 | Megan Skradis | Registered Nurse | 2300 S 16th St, Lincoln, NE 68502-3704 | 2020-01-24 |
| 1083273395 | Alex Devries | Nurse Practitioner | 2300 S 16th St, Lincoln, NE 68502-3704 | 2019-06-10 |
| 1235692112 | Dana A Jackson | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2019-04-09 |
| 1952864043 | Kirstie Zimmerman | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2019-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1598259640 | Jh Wellness Services, LLC | Social Worker | 2737 S 12th St, Lincoln, NE 68502 | 2018-06-20 |
| 1508365776 | Karen Sloboda | Chiropractor | 3121 South 11th Street, Lincoln, NE 68502 | 2018-02-02 |
| 1417472762 | Nusp1, P.C. | Chiropractor | 3245 Pioneers Blvd, Lincoln, NE 68502 | 2017-08-08 |
| 1467976308 | Bryan Health Connect | Preferred Provider Organization | 2300 S 16th Street, Lincoln, NE 68502 | 2017-08-02 |
| 1235586348 | Justin Cook | Chiropractor | 3121 S. 11th St., Lincoln, NE 68502 | 2016-05-18 |
| 1316319924 | Cari Musgrove | Pharmacist | 2300 So 16th St, Bryan West Pharmacy, Lincoln, NE 68502 | 2015-10-22 |
| 1164866976 | Trevor Gregath | Psychiatry & Neurology | 2222 S 16th St Ste 340, Lincoln, NE 68502 | 2013-04-23 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| Find all providers in zip 68502 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396969499 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 415 S 25th Ave, Omaha, NE 68131-3654 | 2007-04-12 |
| 1386712925 | Nebraska Medical Center | Psychiatric Unit | 987400 Nebraska Medical Ctr Fl 7, 7th Floor Uh (7psy), Omaha, NE 68198-7400 | 2006-12-01 |
| 1073599189 | Crane River Clinic | Psychiatric Unit | 3280 Woodridge Blvd, Suite 260, Grand Island, NE 68801-7481 | 2005-12-20 |
| 1144709122 | Methodist Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
| 1720441074 | Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2016-04-04 |
| 1457745119 | Fillmore County Hospital | Psychiatric Unit | 1900 F St, Geneva, NE 68361-2229 | 2015-03-20 |
| 1427283795 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-05-15 |
| 1518091230 | Children's Hospital | Psychiatric Unit | 8200 Dodge St, Children's Hospital - Eating Disorders Program, Omaha, NE 68114-4113 | 2007-03-15 |
| 1326126509 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
| 1568570745 | The Mary Lanning Memorial Hospital Association | Psychiatric Unit | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 | 2006-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.