Individual provider Active NPI

Bryce William Noll, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lincoln, NE
National Provider Identifier
1407112626
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
29827 Issued in NE
Practice address
5440 South St Ste 200
Lincoln, NE 68506-2116
Phone
(402) 465-1900
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 29827 NE Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 10186 SD

Addresses

Primary practice location

5440 South St Ste 200
Lincoln, NE 68506-2116

Mailing address

5440 South St Ste 200
Lincoln, NE 68506-2116
Phone (402) 465-1900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520000804 NE Practitioner - Pathology 6901101187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nebraska College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Medical Services PCGroup PAC ID 0648255265, 13 clinicians

Practice addresses (Care Compare)

5440 S St
Suite 200
Lincoln, NE 68506-2116
Phone (402) 465-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10186SDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Jun 1, 2025 Accepting new patients
Pathology Medical Services PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Pathology Medical Services PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

5440 South St
Ste 200
Lincoln, NE 68506
Phone (402) 465-1900

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1407112626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 SOUTH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062116",
            "telephone_number": "402-465-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 SOUTH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062116",
            "telephone_number": "402-465-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "BRYCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "29827",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "10186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.