Brent Allen Willman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17210 Issued in NE

Practice address

6041 Village Dr
Suite 150
Lincoln, NE 68516-6619

Phone

(402) 423-1900

Fax

(402) 423-5991

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Doctors of Children, Lincoln PC

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1780808667
  NPD (past)
• Doctors of Children, Lincoln PC

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1861914020
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386616092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR",
            "address_2": "SUITE 150",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166619",
            "telephone_number": "402-423-1900",
            "fax_number": "402-423-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR",
            "address_2": "SUITE 150",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166619",
            "telephone_number": "402-423-1900",
            "fax_number": "402-423-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMAN",
        "first_name": "BRENT",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "17210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081021213",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00365",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Williamson, DPM
• Eric J Willis
• Lakaja Willis
• Robert Willis, BCBA
• Theo T Willis
• Erin Marie Willnerd
• Taylor Willnow
• Willow Point Therapy LLC
• Nicole Wills
• Wanda L Wilnes, PT

• Pediatrics Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Pediatrics Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.