NPIMap

Individual provider Active NPI

Brett R Lindau, DO

  • Family Medicine Physician
  • Broken Bow, NE
National Provider Identifier
1114153384
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0049425 Issued in CO
Practice address
145 Memorial Drive
Broken Bow, NE 68822
Phone
(308) 872-2486
Fax
(308) 872-2938
NPI assigned
Jun 2, 2009
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0049425 CO Primary

Addresses

Primary practice location

145 Memorial Drive
Broken Bow, NE 68822

Mailing address

PO Box 690
Broken Bow, NE 68822
Phone (308) 872-2486

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
I20120705000095 NE Practitioner - Family PracticePractitioner - Emergency Medicine 8729243399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Jennie M Melham Memorial Medical Center IncGroup PAC ID 5799766440, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-2486

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions14
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0049425COMDFamily Medicine Physician
832NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie M Melham Memorial Medical Center Inc CurrentSince Feb 3, 2022 Accepting new patients
Jennie M Melham Memorial Medical Center Inc Current Accepting new patients
Central Nebraska Medical Clinic PC Family Medicine CurrentSince Jan 17, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brett.lindau@cnmcpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGFCCD/Endpoint/DGFCCD

Organizations & group practices 3

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 6

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1114153384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "68822",
            "telephone_number": "308-872-2486",
            "fax_number": "308-872-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MEMORIAL DRIVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "68822",
            "telephone_number": "308-872-2486",
            "fax_number": "308-872-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAU",
        "first_name": "BRETT",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2023-09-01",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0049425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

Verify at the official NPI Registry.