Samuel Braden, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10117289-1205 Issued in UT

Practice address

3901 Pine Lake Rd Ste 214
Lincoln, NE 68516-5427

Phone

(024) 816-0004

Fax

(402) 423-4100

NPI assigned

Nov 5, 2010

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Utah School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Medical CenterGroup PAC ID 4284628652, 50 clinicians

Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
• Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
• Crete Area Medical Center Hospital, Crete, NE, CCN 281354
• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
• York General Health Care Services Hospital, York, NE, CCN 281336

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DICAAA

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.

• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370
  Medicare reassignment Care Compare group NPD
• Lincoln Radiology Group P C

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1275587602
  Medicare reassignment Care Compare group NPD
• Bryan Medical Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lincoln, NE
  • NPI 1629157789
  NPD
• Arthritis Center of Nebraska

  • Rheumatology Physician
  • Lincoln, NE
  • NPI 1164492641
  NPD (past)
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  NPD (past)

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

• Bryan Hospital Kearney

  dba Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  Care Compare affiliation
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  dba Bryan Medical Center Laboratory

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Care Compare affiliation
• The Nebraska Medical Center

  dba The Nebraska Medical Center - Nebraska Medicine

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Care Compare affiliation

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1073814141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7239",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370239",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165427",
            "telephone_number": "024-816-0004",
            "fax_number": "402-423-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 1900 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841322140",
            "country_code": "US",
            "telephone_number": "801-555-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "10117289-1205",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "1234567",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Brackhan
• Pamela Sue Brackhan
• Summer Joy Brackhan
• Braden Partners LP (Pacific Pulmonary Services)
• Morgan L Braden, ARNP
• Barbara Hutchinson Bradford, MASTER OF SOCIAL WOR
• Bradlee N Novotny, D.C., P.C.
• Bradley J Blumenstock OD, PC (Blumenstock Family Eyecare)
• Aaron Bradley, D.D.S.
• Adam Bradley

• Diagnostic Radiology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.