Brett S. Copley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TEP8547 Issued in NE

Practice address

4600 Valley Rd Ste 200
Lincoln, NE 68510-4882

Phone

(402) 483-4571

Fax

(402) 483-5633

NPI assigned

Jun 19, 2019

Last updated

Jun 19, 2019By 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 1

Addresses

Other identifiers 1

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

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial Hospital DistrictGroup PAC ID 7517856859, shared by 6 NPIs, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Syracuse Area Health Hospital, Syracuse, NE, CCN 281309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brettcopley@pcmg.allscriptsdirect.net

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.

• Community Memorial Hospital District

  dba Syracuse Area Health

  • Critical Access Hospital
  • Syracuse, NE
  • NPI 1013925924
  Medicare reassignment NPD
• Community Memorial Hospital District

  dba SAH Professional Services

  • Family Medicine Physician
  • Syracuse, NE
  • NPI 1336155134
  Medicare reassignment NPD
• Plum Creek Medical Group, P.C.

  • Family Medicine Physician
  • Lexington, NE
  • NPI 1104868496
  Medicare reassignment NPD
• Community Memorial Hospital District

  • Family Medicine Physician
  • Hickman, NE
  • NPI 1134097900
  NPD
• Community Memorial Hospital District

  dba Strasburger Orthopaedics

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1699392019
  NPD
• Community Memorial Hospital District

  dba Sagewell

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1023823150
  NPD (past)

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

• Community Memorial Hospital District

  dba Syracuse Area Health

  • Critical Access Hospital
  • Syracuse, NE
  • NPI 1013925924
  Care Compare affiliation

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1144880204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 VALLEY RD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104882",
            "telephone_number": "402-483-4571",
            "fax_number": "402-483-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 VALLEY RD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104882",
            "telephone_number": "402-483-4571",
            "fax_number": "402-483-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEY",
        "first_name": "BRETT",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "TEP8547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470553011-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ianthe Coover
• Sade Cope
• Tammy Anne Cope
• Christine Marie Copeland, MEDICATION AIDE
• Nevann Copeland
• Sheila C Copley, P.T.A
• Elias Coppinger
• Chanda L Copple, RN, BSN, CDE
• Andrew Corbin
• Hayley Michelle Corbridge

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.