Individual provider Active NPI

Brian Paul Obrist, LIMHP, LCSW, PA-C

  • Physician Assistant
  • Columbus, NE
National Provider Identifier
1205024155
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1664 Issued in NE
Practice address
4321 41St Avenue
Columbus, NE 68602-1028
Phone
(402) 562-7500
Fax
(402) 564-0611
NPI assigned
Oct 4, 2007
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1664 NE Primary
Mental Health Counselor 101YM0800X 3251 NE
Social Worker 104100000X 1243 NE

Addresses

Primary practice location

4321 41St Avenue
Columbus, NE 68602-1028

Mailing address

4321 41St Avenue
Columbus, NE 68602-1028
Phone (402) 562-7500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121103000106 NE Practitioner - Physician Assistant 2860643699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1243NEMDSocial Worker
3251NEMDPhysical Therapist
1664NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Neighbor Community Health Center CurrentSince Aug 20, 2012 Accepting new patients

Locations

4321 41st Ave
Columbus, NE 68601
Phone (402) 562-7500

2740 N Clarkson St
Fremont, NE 68025
Phone (402) 721-0090

Interoperability endpoints

  • Direct secure messaging: brian.obrist.p1@direct.goodneighbor.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1205024155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 41ST AVENUE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021028",
            "telephone_number": "402-562-7500",
            "fax_number": "402-564-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 41ST AVENUE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021028",
            "telephone_number": "402-562-7500",
            "fax_number": "402-564-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIST",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "credential": "LIMHP, LCSW, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1664",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3251",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.