Active NPI
Brian Harris, M.D.
- Internal Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30831
- Practice address
- 10060 Regency Cir
Omaha, NE 68114 - Phone
- (402) 354-1580
- Fax
- (402) 354-1409
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q2674 | TX | |
| Internal Medicine Physician | 207R00000X | 30831 | NE | Primary |
Addresses
Primary practice location
10060 Regency Cir
Omaha, NE 68114
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068731742 | Medicaid | NE | |
| 1275892002 | Medicaid | NE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180711001209 | NE | Practitioner - Internal Medicine | 1052544343 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Clinic Inc
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
Hospital & facility affiliations
- Heritage Oncare Home Health, LLC
- The Nebraska Methodist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30831 | NE | MD | Internal Medicine Physician |
| Q2674 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Internal Medicine | Current | Accepting new patients |
Locations
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
8601 W Dodge Rd
Ste 216
Omaha, NE 68114
Phone (402) 354-4822
Interoperability endpoints
- brian.harris@direct.nmhs.org
Organizations & group practices 6
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.
-
- Ambulatory Surgical Clinic/Center
- Omaha, NE
- NPI 1720606932
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1124118385
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1790874790
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1831286673
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Omaha, NE
- NPI 1780196451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1275892002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10060 REGENCY CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-354-1580",
"fax_number": "402-354-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q2674",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "30831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731742",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275892002",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.