NPIMap

Individual provider Active NPI

Brad Allen Olberding, MD

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1437386109
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27984 Issued in NE
Practice address
925 E McDowell Rd
2ND Floor
Phoenix, AZ 85006-2502
Phone
(602) 239-2282
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R71538 AZ
Surgery Physician 208600000X 27984 NE Primary

Addresses

Primary practice location

925 E McDowell Rd
2ND Floor
Phoenix, AZ 85006-2502

Mailing address

1101 S. 10TH St, Ste 100
Lincoln, NE 68510-4293
Phone (402) 483-4292

Other identifiers 1

IdentifierTypeStateIssuer
100262986-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811002198 NE Practitioner - General Surgery 1850518192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgery Associates LLCGroup PAC ID 5092741330, 12 clinicians

Practice addresses (Care Compare)

1101 S 70TH St
Suite 100
Lincoln, NE 68510-4293
Phone (402) 483-4292

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)30
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R71538AZMDSurgery Physician
27984NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgery Associates, LLC Surgery CurrentSince Aug 1, 2014 Accepting new patients
Gastroenterology Specialties, P.C. Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

1101 S 70th St
Ste 100
Lincoln, NE 68510
Phone (402) 483-2905

Interoperability endpoints

  • Direct secure messaging: brad.olberding.1@8817.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8817/brand/1/csg/1/fhir/r4
  • FHIR API: https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1437386109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S. 10TH ST, STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-483-4292",
            "fax_number": "855-895-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD",
            "address_2": "2ND FLOOR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-239-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLBERDING",
        "first_name": "BRAD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R71538",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "27984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262986-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.