Active NPI
South Lincoln Family Physicians, PC
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1144337643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTH LINCOLN FAMILY PHYSICIANS, PC
- Practice address
- 4424 S 86TH St
Lincoln, NE 68526-9225 - Phone
- (402) 483-2987
- Fax
- (402) 483-2980
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brandon D Webb, MD
- Title
- President
- Phone
- (402) 483-2987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4424 S 86TH St
Lincoln, NE 68526-9225
Mailing address
4424 S 86TH St
Lincoln, NE 68526-9225
Phone (402) 483-2987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02866 | Other | NE | BCBS |
| 1144337643 | Other | NE | RR MEDICARE |
Other names 1
- Primary Care Partners
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@southlincolnfamily.e-mdsdirect.com | Other | |
| Direct Messaging Address | admin@southlincolnfamily.e-mdsdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040616001093 | NE | Part B Supplier - Clinic/Group Practice | 7214911270 |
Receives reassigned benefits from 17 practitioners Practice locations: Lincoln, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2255234 | Primary Care Partners | Certificate of waiver | Mar 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
4130 Pioneer Woods Dr
Ste 2
Lincoln, NE 68506
Phone (402) 483-2987
3201 Pioneers Blvd
Lincoln, NE 68502
1240 Aries Dr
Lincoln, NE 68512
Phone (402) 420-1300
Interoperability endpoints
- admin@southlincolnfamily.e-mdsdirect.com
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722556800000",
"number": "1144337643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 S 86TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269225",
"telephone_number": "402-483-2987",
"fax_number": "402-483-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 S 86TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269225",
"telephone_number": "402-483-2987",
"fax_number": "402-483-2980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH LINCOLN FAMILY PHYSICIANS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-483-2987",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02866",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "1144337643",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@southlincolnfamily.e-mdsdirect.com",
"affiliation": "N",
"endpointDescription": "Practice site direct ID",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "admin messages",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "3201 Pioneers Blvd",
"address_2": "Ste 304",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685025963",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@southlincolnfamily.e-mdsdirect.com",
"affiliation": "N",
"address_1": "4424 S 86th St",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685269225",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Primary Care Partners",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.