Individual provider Active NPI

Brett Van Briggle

  • Cardiovascular Disease Physician
  • Omaha, NE
National Provider Identifier
1073961876
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31637 Issued in NE
Practice address
1120 N 103Rd PLZ
Omaha, NE 68114-1114
Phone
(402) 391-5055
Fax
(402) 391-5053
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31637 NE Primary

Addresses

Primary practice location

1120 N 103Rd PLZ
Omaha, NE 68114-1114

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-5451

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200315000136 NE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1658666755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Nebraska College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians
Nebraska Methodist HospitalGroup PAC ID 6901707447, 132 clinicians

Practice addresses (Care Compare)

1120 N 103Rd PLZ
100 Methodist Physicians Clinic Heart Consu
Omaha, NE 68114-1119
Phone (402) 391-5055

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 343-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31637NEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Nebraska Methodist Hospital Cardiovascular Disease CurrentSince Aug 31, 2022 Accepting new patients
Physicians Clinic Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Radiologic Center Inc PastSince Jan 29, 2023 Accepting new patients

Locations

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

1120 N 103rd Plz
Ste 100
Omaha, NE 68114
Phone (402) 391-5055

515 N 162nd Ave
Ste 203
Omaha, NE 68118
Phone (402) 354-7580

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

Interoperability endpoints

  • Direct secure messaging: brett.vanbriggle@direct.nmhs.org

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1073961876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-5451",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N 103RD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141114",
            "telephone_number": "402-391-5055",
            "fax_number": "402-391-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BRIGGLE",
        "first_name": "BRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "31637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.