Bradlee N Novotny, D.C., P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BRADLEE N NOVOTNY, D.C., P.C.

Practice address

4401 N 7TH St
Lincoln, NE 68521-2425

Phone

(402) 476-8619

Fax

(402) 476-8634

NPI assigned

May 23, 2007

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradlee N Novotny, D.C.NPI 1821018573

Title

Chiropractor

Phone

(402) 476-8619

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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.

• Bradlee Neal Novotny, D.C.

  • Chiropractor
  • Lincoln, NE
  • NPI 1821018573
  Medicare reassignment NPD Authorized official
• Tanner Burt, DC

  • Chiropractor
  • Lincoln, NE
  • NPI 1700484573
  Medicare reassignment NPD
• Kelsey M Novotny, D.C.

  • Chiropractor
  • Lincoln, NE
  • NPI 1124434576
  Medicare reassignment NPD
• Kenneth L Koris, DC

  • Chiropractor
  • South Sioux City, NE
  • NPI 1851558233
  NPD (past)
• Gregory John Mongeon, DC

  • Chiropractor
  • Lincoln, NE
  • NPI 1063530830
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1073723425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N 7TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212425",
            "telephone_number": "402-476-8619",
            "fax_number": "402-476-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N 7TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212425",
            "telephone_number": "402-476-8619",
            "fax_number": "402-476-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEE N NOVOTNY, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "NOVOTNY",
        "authorized_official_first_name": "BRADLEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-476-8619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Joy Brackhan
• Braden Partners LP (Pacific Pulmonary Services)
• Morgan L Braden, ARNP
• Samuel Braden, MD
• Barbara Hutchinson Bradford, MASTER OF SOCIAL WOR
• Bradley J Blumenstock OD, PC (Blumenstock Family Eyecare)
• Aaron Bradley, D.D.S.
• Adam Bradley
• Janaya Bradley
• Michael Joseph Bradstreet

• Physical Medicine & Rehabilitation Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Medicine & Rehabilitation Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.