NPIMap

Individual provider Active NPI

Sally Beth Bryner, MSN, PRN,FNP-BD,CLC

  • Family Medicine Physician
  • Alliance, NE
National Provider Identifier
1154723583
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
111738 Issued in NE
Practice address
2091 Box Butte Ave
Suite 500
Alliance, NE 69301-4452
Phone
(308) 762-2534
Fax
(308) 762-2764
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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 111738 NE Primary

Addresses

Primary practice location

2091 Box Butte Ave
Suite 500
Alliance, NE 69301-4452

Mailing address

873 County Road 66
Hemingford, NE 69348-2005
Phone (308) 762-2534

Other names 1

  • Sally Beth Grant Former name

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
I20141210001804 NE Practitioner - Nurse Practitioner 6204158801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

Practice addresses (Care Compare)

2091 Box Butte Ave
Suite 700
Alliance, NE 69301-4458
Phone (308) 762-7244

Hospital & facility affiliations

  • Brookestone Home Health & Hospice Hospice, Gering, NE, CCN 281506
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Morrill County Community Hospital Hospital, Bridgeport, NE, CCN 281318
  • Highland Park Care Center Nursing home, Alliance, NE, CCN 285063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
111738NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Box Butte General Hospital CurrentSince Sep 20, 2017 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital CurrentSince Dec 1, 2025 Accepting new patients
Alliance Family Medicine LLC Family Medicine CurrentSince Sep 25, 2019 Accepting new patients
Box Butte General Hospital CurrentSince Sep 20, 2017 Accepting new patients
Senex of Hemingford, LLC Past Accepting new patients
VSL Alliance LLC Past Accepting new patients

Locations

2091 Box Butte Ave
Ste 500
Alliance, NE 69301
Phone (308) 762-2534

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

721 Cheyenne Ave
Hemingford, NE 69348
Phone (308) 487-3322

Interoperability endpoints

  • Direct secure messaging: sbryner@bbgh.securechart.com

Organizations & group practices 7

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 5

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1154723583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 COUNTY ROAD 66",
            "city": "HEMINGFORD",
            "state": "NE",
            "postal_code": "693482005",
            "telephone_number": "308-762-2534",
            "fax_number": "308-762-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 BOX BUTTE AVE",
            "address_2": "SUITE 500",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693014452",
            "telephone_number": "308-762-2534",
            "fax_number": "308-762-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYNER",
        "first_name": "SALLY",
        "middle_name": "BETH",
        "credential": "MSN, PRN,FNP-BD,CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "111738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "GRANT",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alliance, NE

Sources for this page

Verify at the official NPI Registry.