Individual provider Active NPI

Brian Jean Herbin, PA

  • Dermatology Physician
  • Lincoln, NE
National Provider Identifier
1295785525
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1038 Issued in NE
Practice address
8040 S 13TH St
Lincoln, NE 68512-9371
Phone
(402) 423-1111
Fax
(402) 423-0365
NPI assigned
May 10, 2006
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1038 NE
Surgical Physician Assistant 363AS0400X 1038 NE
Dermatology Physician 207N00000X 1038 NE Primary
Pediatric Dermatology Physician 207NP0225X 1038 NE
Procedural Dermatology Physician 207NS0135X 1038 NE

Addresses

Primary practice location

8040 S 13TH St
Lincoln, NE 68512-9371

Mailing address

2455 Pine Lake Rd Ste 110
Lincoln, NE 68512-3665
Phone (402) 423-1111

Other practice location 1

2455 Pine Lake Rd Ste 110
Lincoln, NE 68512-3665
Phone (402) 423-1111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bherbin@complete.emadirect.md Direct

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
I20091211000330 NE Practitioner - Physician Assistant 5991845588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians
Geoffrey C. Basler, M.D. P.C.Group PAC ID 3476641903, 3 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

3307 Barada St
Falls City, NE 68355-2470
Phone (402) 423-1111

415 E 23Rd St
Suite 102
Fremont, NE 68025-2393
Phone (402) 423-1111

5790 N 33Rd St
Suite a
Lincoln, NE 68504-4651
Phone (402) 423-1111

5901 N 27TH St
Lincoln, NE 68521-4752

7501 S 27TH St
100 Bryan Urgent Care
Lincoln, NE 68512-4802
Phone (402) 481-6343

8040 S 13TH St
Lincoln, NE 68512-9371
Phone (402) 423-1111

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 423-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.87 of 100Reported as individual
Quality
90.49
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.36 of 100Reported as apm
Quality
90.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Sep 8, 2024 Accepting new patients

Locations

2910 Betten Dr
Crete, NE 68333
Phone (402) 826-1191

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1295785525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 PINE LAKE RD STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123665",
            "telephone_number": "402-423-1111",
            "fax_number": "402-423-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 S 13TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129371",
            "telephone_number": "402-423-1111",
            "fax_number": "402-423-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Pine Lake Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685123665",
            "country_code": "US",
            "telephone_number": "402-423-1111",
            "fax_number": "402-423-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBIN",
        "first_name": "BRIAN",
        "middle_name": "JEAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1038",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "1038",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "1038",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NE",
            "license": "1038",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NE",
            "license": "1038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bherbin@complete.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8040 S 13th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685129371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.