Individual provider Active NPI

Brian Michael Inselman, DPT

  • Physical Therapist
  • Bellevue, NE
National Provider Identifier
1538147095
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2354 Issued in NE
Practice address
4102 Twin Creek Dr
Ste 108
Bellevue, NE 68123-4024
Phone
(402) 502-4678
Fax
(402) 933-9137
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2354 NE Primary

Addresses

Primary practice location

4102 Twin Creek Dr
Ste 108
Bellevue, NE 68123-4024

Mailing address

4102 Twin Creek Dr
Ste 108
Bellevue, NE 68123-4024
Phone (402) 502-4678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000135 NE Practitioner - Physical Therapist in Private Practice 7214962935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve PCGroup PAC ID 6406881127, 5 clinicians

Practice addresses (Care Compare)

11511 S 42ND St
Suite 106
Bellevue, NE 68123-1089
Phone (402) 502-4678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve PC Physical Therapist CurrentSince Sep 1, 2005 Accepting new patients

Locations

11511 S 42nd St
Ste 106
Bellevue, NE 68123
Phone (402) 502-4678

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1538147095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 TWIN CREEK DR",
            "address_2": "STE 108",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234024",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 TWIN CREEK DR",
            "address_2": "STE 108",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234024",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INSELMAN",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.