Individual provider Active NPI

Bryan Thomas Voithofer, D.C.

  • Internist Chiropractor
  • Omaha, NE
National Provider Identifier
1366638603
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
1742 Issued in NE
Practice address
10506 Burt Cir
Omaha, NE 68114-2094
Phone
(402) 676-9544
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5075 KY
Internist Chiropractor 111NI0900X 1742 NE Primary

Addresses

Primary practice location

10506 Burt Cir
Omaha, NE 68114-2094

Mailing address

10506 Burt Cir
Omaha, NE 68114-2094
Phone (402) 676-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620001419 NE Practitioner - Chiropractic 5294278198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5075KYMDChiropractor
1742NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Voithofer Chiropractic & Accident Rehabilitation LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
Focus C3, PC PastSince Jan 1, 2025 Accepting new patients

Locations

16850 Frances St
Ste 104
Omaha, NE 68130
Phone (402) 676-9544

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1366638603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 BURT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142094",
            "telephone_number": "402-676-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 BURT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142094",
            "telephone_number": "402-676-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOITHOFER",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5075",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "NE",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 2016; 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.