BRYAN MEDICAL CENTER (NPI# 1497809966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497809966 |
| Entity Type | Organization |
| Organization Name | BRYAN MEDICAL CENTER |
| Practice Address |
1600 S 48th St Lincoln NE 68506-1283 |
| Practice Telephone | 4024815792 |
| Practice Fax Number | 4024814755 |
| Mailing Telephone | 4024815792 |
| Mailing Fax Number | 4024814755 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-09-08 |
| 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 |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
500001 | NE | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
500001 | NE | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
500001 | NE | Behavioral Health & Social Service Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
500001 | NE | Behavioral Health & Social Service Providers |
| 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 |
| 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 |
| 1134216773 | Bryan Medical Center | Psychiatric Unit | 2300 S 16th St, Lincoln, NE 68502-3780 | 2006-10-06 |
| 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 |
1600 S 48TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578536488 | Matthew Eugene Johnson | Internal Medicine | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1275 | 2006-02-10 |
| 1851909618 | Nikki Owen | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2020-07-17 |
| 1497391866 | Logan Sudbeck | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-11-20 |
| 1942844238 | Michaela R Geiser | Health Educator | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-10-30 |
| 1740831106 | Bryan Medical Center | Dietitian, Registered | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-09-26 |
| 1922660489 | Kayla Lee Campbell | Nurse Practitioner | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-07-05 |
| 1174183644 | Brittany M Wacker | Nurse Practitioner | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-06-17 |
| 1114584745 | Angela Marie Krafka | Registered Nurse | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-05-20 |
| 1467019992 | Clarissia Marie Hoeft | Registered Nurse | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-05-20 |
| 1972075489 | Vanessa M Vesely | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2018-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700384054 | Leslie Brooke Delong | Psychologist | 650 J St Ste 201, Lincoln, NE 68508-2900 | 2018-01-31 |
| 1871762260 | Joanne Hadlock | Psychologist | 223 Sandy Pond Rd, Lincoln, MA 01773-1810 | 2008-02-29 |
| 1093880395 | Eve Rassiga | Psychologist | 3 Oakdale Ln, Lincoln, MA 01773-1710 | 2006-11-21 |
| 1013532688 | Chelsi Davis PC | Psychologist | 1919 S 40th St Ste 111, Lincoln, NE 68506-5247 | 2020-06-10 |
| 1871028738 | Bitz Psychological Services, P.C. | Psychologist | 1919 S 40th St, Suite 111, Lincoln, NE 68506-5243 | 2017-04-27 |
| 1518335751 | Chelsi Ann Klentz Davis | Psychologist | 1919 S 40th St, Suite 111, Lincoln, NE 68506-5243 | 2015-09-04 |
| 1558765495 | Justice Behavioral Health Services, LLC | Psychologist | 3600 Village Dr, Suite 110, Lincoln, NE 68516-6621 | 2014-10-21 |
| 1750654166 | Fallbrook Behavioral Health, PC | Psychologist | 755 Fallbrook Blvd, Ste 100, Lincoln, NE 68521-4637 | 2012-02-15 |
| 1689944795 | Amy Leigh Chatelain | Psychologist | 1500 U Street, Rm 214, Lincoln, NE 68588-0618 | 2012-01-05 |
| 1447579313 | Thomas J Tiegs | Psychologist | 755 Fallbrook Blvd, Suite 100, Lincoln, NE 68521-4643 | 2010-05-18 |
| Find all providers in LINCOLN | ||||
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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.