NPIMap

Individual provider Active NPI

Trevon Dean MC Gill, MD

  • Internal Medicine Physician
  • Lincoln, NE
National Provider Identifier
1033775440
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34271 Issued in NE
Practice address
770 N Cotner Blvd Ste 220
Lincoln, NE 68505-2344
Phone
(402) 441-3400
NPI assigned
May 13, 2019
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30059 MN
Internal Medicine Physician 207R00000X 67775 MN
Internal Medicine Physician 207R00000X 34271 NE Primary

Addresses

Primary practice location

770 N Cotner Blvd Ste 220
Lincoln, NE 68505-2344

Mailing address

770 N Cotner Blvd Ste 220
Lincoln, NE 68505-2344
Phone (402) 441-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302000373 NE Practitioner - Internal Medicine 5890029565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

770 N Cotner Blvd
220 Nebraska Internal Medicine
Lincoln, NE 68505-2344
Phone (402) 441-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67775MNMDInternal Medicine Physician
34271NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Seward Urgent Care Partnership LLC Past Accepting new patients

Locations

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

770 N Cotner Blvd
Ste 220
Lincoln, NE 68505
Phone (402) 441-3400

Interoperability endpoints

  • Direct secure messaging: tmcgill143553@hisp.bryanhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1033775440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 220",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052344",
            "telephone_number": "402-441-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 220",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052344",
            "telephone_number": "402-441-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC GILL",
        "first_name": "TREVON",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "30059",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "67775",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "34271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.