NPIMap

Individual provider Active NPI

Bradley G Sawtelle, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1225001043
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
211125 Issued in NE
Practice address
4525 S 86TH St Ste B
Lincoln, NE 68526-9277
Phone
(402) 483-7507
Fax
(402) 483-6899
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 211125 NE Primary

Addresses

Primary practice location

4525 S 86TH St Ste B
Lincoln, NE 68526-9277

Mailing address

4525 S 86TH St Ste B
Lincoln, NE 68526-9277
Phone (402) 483-7507

Other identifiers 1

IdentifierTypeStateIssuer
47068397013MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bradley-sawtelle@elfhp-pc.e-mdsdirect.com Direct

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
I20100727000911 NE Practitioner - Family Practice 6204835127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
East Lincoln Family Health Professionals, PCGroup PAC ID 4385539725, 6 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4525 S 86TH St
Suite B
Lincoln, NE 68526-9277
Phone (402) 483-7507

Hospital & facility affiliations

  • CHI Health at Home - Lincoln Home health agency, Lincoln, NE, CCN 287050
  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • Interim Healthcare Home health agency, Lincoln, NE, CCN 287062
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions18
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211125NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Lincoln Family Health Professionals, PC Family Medicine Current Accepting new patients
East Lincoln Family Health Professionals, PC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

4525 S 86th St
Ste B
Lincoln, NE 68526
Phone (402) 483-7507

4545 S 86th St
Lincoln, NE 68526
Phone (402) 483-6990

Interoperability endpoints

  • Direct secure messaging: bradley-sawtelle@elfhp-pc.e-mdsdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1225001043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S 86TH ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269277",
            "telephone_number": "402-483-7507",
            "fax_number": "402-483-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S 86TH ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269277",
            "telephone_number": "402-483-7507",
            "fax_number": "402-483-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWTELLE",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "211125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068397013",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradley-sawtelle@elfhp-pc.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4525 S 86th St Ste B",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685269277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.