NPIMap

Organization Active NPI

Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
National Provider Identifier
1528006103
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
500001 Issued in NE
Legal business name
BRYAN MEDICAL CENTER
Practice address
1600 S 48TH St
Lincoln, NE 68506-1299
Phone
(402) 489-0200
NPI assigned
Jun 3, 2006
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
John T Woodrich
Title
Interim President/Ceo
Phone
(402) 481-1111

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
General Acute Care Hospital 282N00000X 500003 NE
General Acute Care Hospital 282N00000X 500001 NE Primary
Substance Abuse Rehabilitation Facility 324500000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU

Addresses

Primary practice location

1600 S 48TH St
Lincoln, NE 68506-1299

Mailing address

PO Box 860877
Minneapolis, MN 55486-0877
Phone (402) 481-3548

Other identifiers 1

IdentifierTypeStateIssuer
000010OtherNEBLUE CROSS/BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@hisp.bryanhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923001171 NE Part A Provider - Hospital 4284628652 2 other NPIs on this enrollment
Practice locations: Lincoln, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528006103. Details of each certification follow.

Hospital certification: CCN 280003

Legal name
BRYAN MEDICAL CENTER
Doing business as
BRYAN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 13, 2009
Beds
630 (503 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 17, 1920 in NE
Enrollment address
1600 S 48TH St
Lincoln, NE 68506-1299
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Bryan Medical CenterCCN 280003 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
BMH Professional Billin13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Max L Rodenburg Individual Corporate Director Jan 1, 2021
Pablo Cervantes Individual Corporate Director Jan 1, 2019
Janet C Chung Individual Corporate Director Jan 1, 2019
Michaella J Kumke Individual Corporate Director Jan 1, 2024
Erin C Pemberton Duggan Individual Corporate Officer Jan 1, 2021
Corporate Director Jan 1, 2020
Lorenzo a Ball Individual Corporate Director Jan 1, 2023
Krystal L Siebrandt Individual Corporate Director Jan 1, 2024
Kenneth P Gross Individual Corporate Officer Jan 1, 2022
Corporate Director Jan 1, 2018
Bryan Health Organization, Lincoln, NE Corporation, Non-profit Operational/Managerial Control Oct 4, 1985
Jack J Huck Individual Corporate Officer Jan 1, 2020
Corporate Director Jan 1, 2018
William M Johnson Individual Corporate Director Jan 1, 2020
Elizabeth W Lau Individual Corporate Director Jan 1, 2022
Robert a Oakes Individual Corporate Director Jan 1, 2022
Eric N Mooss Individual Contracted Managing EmployeePresident/Ceo Jan 1, 2023
Corporate OfficerPresident/Ceo Jan 1, 2023
Corporate DirectorPresident/Ceo Jan 1, 2023
Operational/Managerial ControlPresident/Ceo Jan 1, 2023
Shannon R Harner Individual Corporate Director Jan 1, 2016
Alissa M Clough Individual Corporate Director Jan 1, 2024
David G Griffiths Individual W-2 Managing EmployeeCfo Jan 1, 2023
Operational/Managerial ControlCfo Jan 1, 2023
Aina I Silenieks Individual Corporate Director Jan 1, 2024
Russell R Gronewold Individual Contracted Managing Employee Dec 29, 2009
Corporate Officer Jan 3, 2020
Corporate Director Jan 3, 2020
Operational/Managerial Control Dec 29, 2009
Gayle Page Individual Corporate Director Jan 1, 2021
Connie S Edmond Individual Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2022
Lisa M Newcomer Vail Individual Corporate Director Nov 2, 2023

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 186

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 186

Affiliated clinicians 1,119

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,119

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1528006103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860877",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860877",
            "telephone_number": "402-481-3548",
            "fax_number": "402-481-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061299",
            "telephone_number": "402-489-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "WOODRICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INTERIM PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-481-1111"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": "500003",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": "500001",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000010",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@hisp.bryanhealth.org",
            "affiliation": "N",
            "address_1": "1600 S 48th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.