NPIMap

Organization Active NPI

Father Flanagan's Boys' Home

Doing business as Boys Town Professional Services

  • Pediatrics Physician
  • Omaha, NE
National Provider Identifier
1295821825
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FATHER FLANAGAN'S BOYS' HOME
Doing business as
Boys Town Professional Services
Practice address
555 N 30TH St
Omaha, NE 68131-2136
Phone
(402) 498-6509
Fax
(402) 498-6357
NPI assigned
Oct 4, 2006
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FATHER FLANAGAN'S BOYS HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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)CodeLicenseStatePrimary
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 (402) 498-6509

Other identifiers 6

IdentifierTypeStateIssuer
02831OtherNEBCBS OF NE GROUP #
10025146300MedicaidNE
10025003700MedicaidNE
10025003600MedicaidNE
10025005900MedicaidNE
10025171100MedicaidNE

Other names 1

  • Boys Town Professional Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040426000622 NE Part B Supplier - Clinic/Group Practice 9638165400 Receives reassigned benefits from 313 practitioners
Practice locations: Omaha, NE; Papillion, NE; Bellevue, NE; Boys Town, NE; Elkhorn, NE; Kearney, NE; Lincoln, NE
O20140807000484 IA Part B Supplier - Clinic/Group Practice 9638165400 Receives reassigned benefits from 22 practitioners
Practice locations: Council Bluffs, IA; Sioux City, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Byrne Thomas M MD

Locations

320 McKenzie Ave
Ste 202
Council Bluffs, IA 51503
Phone (712) 256-5272

14040 Boys Town Hospital Rd
Ste 100
Boys Town, NE 68010
Phone (531) 355-6800

14040 Boys Town Hospital Rd
Ste 200
Boys Town, NE 68010
Phone (531) 355-6800

14090 Mother Teresa Ln
Boys Town, NE 68010
Phone (531) 355-8900

14098 Mother Teresa LN
Boys Town Pediatric Physical Therapy
Boys Town, NE 68010

14098 Mother Teresa LN
Boys Town Pediatric Physical Therapy
Boys Town, NE 68010
Phone (531) 355-8910

14100 Crawford St
Boystown, NE 68010
Phone (402) 498-1439

111 N 84th St
Omaha, NE 68114
Phone (402) 955-5700

16929 Frances St
Ste 104
Omaha, NE 68130
Phone (531) 355-1449

3838 N 167th Ct
Omaha, NE 68116
Phone (531) 355-3358

425 N 30th St
Omaha, NE 68131
Phone (402) 452-5000

6715 S 180th St
Omaha, NE 68135
Phone (531) 355-2300

7205 W Center Rd
Ste 103
Omaha, NE 68124
Phone (402) 392-7600

Practitioners & affiliated clinicians

Practitioners 355

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 355

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1295821825",
    "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": "402-498-6509",
            "fax_number": "402-498-6357"
        },
        {
            "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": "402-498-6509",
            "fax_number": "402-498-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER FLANAGAN'S BOYS' HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FATHER FLANAGAN'S BOYS HOME",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE GROUP #",
            "identifier": "02831",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025146300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025003700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025003600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025005900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025171100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boys Town Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.