BRYAN MEDICAL CENTER (NPI# 1629157789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629157789 |
| Entity Type | Organization |
| Organization Name | BRYAN MEDICAL CENTER |
| Practice Address |
1600 S 48th St Lincoln NE 68506-1283 |
| Mailing Address |
P.o. Box 6168 Lincoln NE 68506-0168 |
| Practice Telephone | 4024890200 |
| Practice Fax Number | 4024814755 |
| Mailing Telephone | 4024838590 |
| Mailing Fax Number | 4024838599 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-04-16 |
| 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| 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 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013275254 | Stephen Walker Carveth | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6200 Black Forest Dr, Lincoln, NE 68516-2392 | 2012-04-25 |
| 1992883599 | Robert A. Oakes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 S 48th St Ste 400, Lincoln, NE 68506-1278 | 2006-11-01 |
| 1619390465 | Ashley Fratello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7440 S 91st St, Lincoln, NE 68526-9797 | 2014-01-30 |
| 1619149119 | Ryan C. Shelstad | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 S 48th St Ste 400, Lincoln, NE 68506-1278 | 2008-03-25 |
| 1699989772 | Richard B Thompson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 S 48th St Ste 400, Lincoln, NE 68506-1278 | 2007-05-09 |
| 1710072087 | Deepak M Gangahar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-10-04 |
| 1629163910 | Ronald K Jex | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831279132 | Michael C Bibler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3015 A Ave, Kearney, NE 68847-3587 | 2006-10-17 |
| 1679573877 | William H Fleming | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17850 S Reflection Ave, Bennington, NE 68007-5727 | 2005-07-28 |
| 1265048177 | Poudre Valley Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 W 42nd St Ste 2200, Scottsbluff, NE 69361-4669 | 2020-09-17 |
| 1245742451 | Marian Urban | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile @ 42nd St, Omaha, NE 68198-0001 | 2017-10-27 |
| 1487175261 | Jill R Nohl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile 42nd St, Omaha, NE 68198-0001 | 2017-06-30 |
| 1275832537 | David Benjamin Berkheim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 S. 48th St, Omaha, NE 68198 | 2011-03-24 |
| 1356665392 | Adam Michael Kingston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 N 103rd Plz Ste 100, Omaha, NE 68114-1119 | 2010-03-19 |
| 1942531033 | Heart Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4242 Farnam St, #355, Omaha, NE 68131-2806 | 2010-01-29 |
| 1841456498 | Helenmari L Merritt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile At 42nd St, Omaha, NE 68198-0001 | 2008-08-04 |
| 1588869598 | Karin Trujillo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 S 45th St, Omaha, NE 68198-4030 | 2007-06-19 |
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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.