Active NPI
Father Flanagans Boys Home
Doing business as Boys Town National Research Hospital
- Pediatrics Physician
- Omaha, NE
National Provider Identifier
1235795568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- FATHER FLANAGANS BOYS HOME
- Doing business as
- Boys Town National Research Hospital
- Practice address
- 555 N 30TH St
Omaha, NE 68131-2136 - Phone
- (531) 355-6509
- Fax
- (531) 355-6357
- NPI assigned
- May 13, 2019
- Last updated
- Nov 19, 2025
- Organization subpart
- Yes
- Parent organization
- FATHER FLANAGAN'S BOYS HOME
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bridgette Renbarger
- Title
- Cfo
- Phone
- (531) 355-3121
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | ||
| Clinical Genetics (M.D.) Physician | 207SG0201X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Ophthalmology Physician | 207W00000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Pediatric Otolaryngology Physician | 207YP0228X | NU | ||
| Pediatrics Physician | 208000000X | NU | Primary | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | NU | ||
| Pediatric Allergy/Immunology Physician | 2080P0201X | NU | ||
| Pediatric Gastroenterology Physician | 2080P0206X | NU | ||
| Pediatric Sports Medicine Physician | 2080S0010X | NU | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | ||
| Audiologist | 231H00000X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Pediatric Nurse Practitioner | 363LP0200X | NU |
Addresses
Primary practice location
555 N 30TH St
Omaha, NE 68131-2136
Mailing address
555 N 30TH St
Omaha, NE 68131-2136
Phone (531) 355-6509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026522400 | Medicaid | NE |
Other names 1
- Boys Town National Research Hospital
National Provider Directory
National Provider Directory- Tax ID family
- Byrne Thomas M MD
- Part of
- Byrne Thomas M MD
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Boys Town Center for Behavioral Health
- Psychologist
- Boys Town, NE
- NPI 1265405419
-
dba Boys Town Behavioral Health Clinic East
- Psychologist
- Omaha, NE
- NPI 1447622923
-
dba Boys Town Behavioral Health Clinic of Grand Island
- Psychologist
- Grand Island, NE
- NPI 1710275714
-
dba Boys Town Behavorial Health
- Psychiatric Residential Treatment Facility
- Boys Town, NE
- NPI 1073609798
-
dba Boys Town National Research Hospital
- Children's Hospital
- Omaha, NE
- NPI 1457458556
-
dba Boys Town Imaging Center
- Radiology Clinic/Center
- Omaha, NE
- NPI 1528165644
-
dba Boys Town Employee Pharmacy
- Managed Care Organization Pharmacy
- Boys Town, NE
- NPI 1578740502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1235795568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "531-355-6509",
"fax_number": "531-355-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "531-355-6509",
"fax_number": "531-355-6357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FATHER FLANAGANS BOYS HOME",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FATHER FLANAGAN'S BOYS HOME",
"enumeration_date": "2019-05-13",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "RENBARGER",
"authorized_official_first_name": "BRIDGETTE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "531-355-3121"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026522400",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boys Town National Research Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
- Javad Jon Fatemi, PHARMD
- Father Flanagan's Boys Home (Boys Town Behavioral Health Clinic East)
- Father Flanagan's Boys' Home (Boys Town Professional Services)
- Father Flanagan's Boys' Home (Boys Town National Research Hospital)
- Father Flanagan's Boys' Home (Boys Town Imaging Center)
- Azibataram Benedicta Fatoye-Alagoa, LPN
- Alyssa Fatte
- Oluwafunmbi Oluwadara Fatunmbi, M.D.
- Heather Elaine Faubion
- Sunshine Leilani Faulkner-Donald
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.