NPIMap

Organization Active NPI

Bryan Medical Center

  • Rehabilitation Hospital Unit
  • Lincoln, NE
National Provider Identifier
1043390438
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
500003 Issued in NE
Legal business name
BRYAN MEDICAL CENTER
Practice address
2300 S 16TH St
Lincoln, NE 68502-3780
Phone
(402) 475-1011
Fax
(402) 481-4755
NPI assigned
Oct 17, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BRYAN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
John T Woodrich
Title
Interim President/Ceo
Phone
(402) 481-3548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 500003 NE Primary

Addresses

Primary practice location

2300 S 16TH St
Lincoln, NE 68502-3780

Mailing address

1600 S 48TH St
Lincoln, NE 68506-1299
Phone (402) 489-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@hisp.bryanhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090428000176 NE Part A Provider - Hospital 4284628652 Practice locations: Lincoln, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043390438. Details of each certification follow.

Hospital certification: CCN 28T003

Legal name
BRYAN MEDICAL CENTER
Doing business as
BRYAN MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
2300 S 16TH St
Lincoln, NE 68502-3704
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Bryan Medical CenterCCN 28T003 · All quality measures
Ownership
Non-profit
Certified
Jun 1, 2003

National Provider Directory

National Provider Directory
Tax ID family
Bryan Memorial Hospital13 organizations share this tax ID, including this one
Part of
Bryan Memorial Hospital

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Smith Individual Corporate Director Jan 1, 2025
Max L Rodenburg Individual Corporate Director Jan 1, 2021
Pablo Cervantes Individual Corporate Director Jan 1, 2019
Janet C Chung Individual Corporate Director Jan 1, 2019
Melissa M Bartels Individual Corporate Director Aug 25, 2024
Michaella J Kumke Individual Corporate Director Jan 1, 2024
Erin C Pemberton Duggan Individual Corporate Officer Jan 1, 2021
Corporate Director Jan 1, 2020
Lorenzo a Ball Individual Corporate Director Jan 1, 2023
Melissa S Newton Individual Corporate Director Jan 1, 2025
Krystal L Siebrandt Individual Corporate Director Jan 1, 2024
Kenneth P Gross Individual Corporate Officer Jan 1, 2022
Corporate Director Jan 1, 2018
Bryan Health Organization, Lincoln, NE Corporation, Non-profit, Chain home office Operational/Managerial Control Oct 4, 1985
Jack J Huck Individual Corporate Officer Jan 1, 2020
Corporate Director Jan 1, 2018
William M Johnson Individual Corporate Director Jan 1, 2020
John T Woodrich Individual Contracted Managing EmployeeInterim President/Ceo Mar 7, 2025
Corporate OfficerInterim President/Ceo Mar 7, 2025
Corporate DirectorInterim President/Ceo Mar 7, 2025
Operational/Managerial ControlInterim President/Ceo Mar 7, 2025
Robert a Oakes Individual Corporate Director Jan 1, 2022
Alissa M Clough Individual Corporate Director Jan 1, 2024
David G Griffiths Individual W-2 Managing EmployeeCfo Jan 1, 2023
Operational/Managerial ControlCfo Jan 1, 2023
Aina I Silenieks Individual Corporate Director Jan 1, 2024
Russell R Gronewold Individual Contracted Managing Employee Dec 29, 2009
Corporate Officer Jan 3, 2020
Corporate Director Jan 3, 2020
Operational/Managerial Control Dec 29, 2009
Gayle Page Individual Corporate Director Jan 1, 2021
Connie S Edmond Individual Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1043390438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061299",
            "telephone_number": "402-489-0200",
            "fax_number": "402-481-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023780",
            "telephone_number": "402-475-1011",
            "fax_number": "402-481-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRYAN MEDICAL CENTER",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "WOODRICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INTERIM PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-481-3548"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NE",
            "license": "500003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@hisp.bryanhealth.org",
            "affiliation": "N",
            "address_1": "1600 S 48th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.