NPIMap

Organization Active NPI

Teledigm Physician Services, LLC

  • Specialist
  • Lincoln, NE
National Provider Identifier
1548667256
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TELEDIGM PHYSICIAN SERVICES, LLC
Practice address
5733 S 34TH St Ste 500
Lincoln, NE 68516-6632
Phone
(315) 350-6970
Fax
(531) 350-6971
NPI assigned
Nov 24, 2014
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Brian Bossard, M.D.
Title
Ceo/President
Phone
(531) 350-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

5733 S 34TH St Ste 500
Lincoln, NE 68516-6632

Mailing address

5733 S 34TH St Ste 500
Lincoln, NE 68516-6632
Phone (315) 350-6970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150116000478 NE Part B Supplier - Clinic/Group Practice 6002130283 Receives reassigned benefits from 48 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

2222 S 16th St
Ste 401A
Lincoln, NE 68502
Phone (402) 483-8744

3200 Pine Lake Rd
Ste A
Lincoln, NE 68516
Phone (402) 421-1811

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1548667256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 S 34TH ST STE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166632",
            "telephone_number": "315-350-6970",
            "fax_number": "531-350-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5733 S 34TH ST STE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166632",
            "telephone_number": "315-350-6970",
            "fax_number": "531-350-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEDIGM PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BOSSARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "531-350-6970",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.