BC Healthcare LLC
Organization Active NPI Interventional Pain Medicine Physician · Omaha, NE
NPI 1003495359 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1003495359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- BC HEALTHCARE LLC
- Practice address
- 3908 N 138TH St
Omaha, NE 68164-5009 - Phone
- (402) 315-4415
- Fax
- (402) 493-7909
- NPI assigned
- Apr 5, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- BC HEALTHCARE LLC
Authorized official
- Name
- Robyn Renee Velasquez
- Title
- Administrative Assistant Credential
- Phone
- (805) 315-4415
Practitioners 11
-
Brandon R Bird, D.C.
-
Kurtis J Harte, P.T.
-
Tara Schueth, PT, DPT
-
William D Weeks, MD
-
Brooke N Wagner, PAC
-
Stella G Washington, P.A.-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2251723 | BC Healthcare Dba Arthritis Knee Pain Clinic | Certificate of waiver | Feb 3, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210803003418 | NE | Part B Supplier - Clinic/Group Practice | 6507260270 |
Receives reassigned benefits from 10 practitioners Practice locations: Lincoln, NE; Omaha, NE |
National Provider Directory
- Part of
- BC Healthcare LLC
Locations
5400 S 56th St
Lincoln, NE 68516
3908 N 138th St
Omaha, NE 68164
Phone (402) 315-4415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
3908 N 138TH St
Omaha, NE 68164-5009
Mailing address
3908 N 138TH St
Omaha, NE 68164-5009
Phone (402) 315-4415
Other practice location 1
5400 S 56th St Ste 314
Lincoln, NE 68516-1889
Phone (531) 500-3259
Other names
- ARTHRITIS KNEE PAIN CLINIC OF OMAHA
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BRBIRD20@HOTMAIL.COM | Direct |
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All providers in Omaha, NE · Interventional Pain Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.