Phillip Tracy Brigden, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5969 Issued in NE

Practice address

11919 Grant St Ste 140
Omaha, NE 68164-3475

Phone

(402) 493-4175

Fax

(877) 811-8129

NPI assigned

Aug 17, 2011

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Univ of Nebraska Medical Center, Col of Dentistry, 1994

Medicare assignment

May accept Medicare assignment

Group practices

MC Sheets DDS, PCGroup PAC ID 5193120376, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MC Sheets DDS, PC

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1427627843

  Dentist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1013297332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 GRANT ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643475",
            "telephone_number": "402-493-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 GRANT ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643475",
            "telephone_number": "402-493-4175",
            "fax_number": "877-811-8129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17602 Wright St",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681302097",
            "country_code": "US",
            "telephone_number": "402-393-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGDEN",
        "first_name": "PHILLIP",
        "middle_name": "TRACY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5969",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jody@whywesnore.com",
            "affiliation": "N",
            "address_1": "11919 Grant St Ste 140",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681643475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jody@whywesnore.com",
            "affiliation": "N",
            "address_1": "11919 Grant St Ste 140",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681643475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittney Bridgeford
• Patricia Bridgeman
• Kelly Bridger, PTA CPI
• Bridging the Gap Psychological Services LLC
• Kathryn Brien, PLMHP
• Ashley Briggs
• Barbara Briggs
• Becky L Briggs
• Brett Briggs
• Debora Briggs

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.