Active NPI
R Samuel Bryant, MD
- Plastic Surgery Physician
- Lincoln, NE
National Provider Identifier
1487679163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 17600
- Practice address
- 7001 A St Ste 100
Lincoln, NE 68510-4205 - Phone
- (402) 484-7001
- Fax
- (402) 484-7006
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 17600 | NE | Primary |
Addresses
Primary practice location
7001 A St Ste 100
Lincoln, NE 68510-4205
Mailing address
7001 A St Ste 100
Lincoln, NE 68510-4205
Phone (402) 484-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025893600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.49 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17600 | NE | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgical Associates, LLC | Past | Accepting new patients | |
| Plastic Surgical Arts PC | Plastic Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery Physician
- Lincoln, NE
- NPI 1881919983
-
- Ophthalmology Physician
- Lincoln, NE
- NPI 1417952995
-
- Plastic Surgery Physician
- Lincoln, NE
- NPI 1013936012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1487679163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 A ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104205",
"telephone_number": "402-484-7001",
"fax_number": "402-484-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 A ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104205",
"telephone_number": "402-484-7001",
"fax_number": "402-484-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "R",
"middle_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NE",
"license": "17600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025893600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.