Bryan Health Connect

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

BRYAN HEALTH CONNECT

Practice address

2300 S 16TH Street
Lincoln, NE 68502

Phone

(402) 483-8891

Fax

(402) 483-8896

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Dwaine Ganyo

Title

President & Executive Director

Phone

(402) 483-8893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467976308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-483-8891",
            "fax_number": "402-483-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68502",
            "telephone_number": "402-483-8891",
            "fax_number": "402-483-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN HEALTH CONNECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GANYO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DWAINE",
        "authorized_official_title_or_position": "PRESIDENT & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-483-8893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devonn Bruntz, RN
• Thomas P Brush, M.D.
• Kayla Bruss, PA-C
• Bryan Employee Specialty Pharmacy
• Bryan Health
• Bryan LGH Hospital
• Bryan LGH West
• Bryan LGH West Independence Center
• Bryan Medical Center
• Bryan Medical Center

• All providers in Lincoln, NE
• Preferred Provider Organization in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.