Individual provider Active NPI

Bryan D Myers, MPAS

  • Physician Assistant
  • Stromberg, NE
National Provider Identifier
1578624490
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
302 E 4TH St
Stromberg, NE 68666-0546
Phone
(402) 764-2491
Fax
(402) 764-4033
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

302 E 4TH St
Stromberg, NE 68666-0546

Mailing address

1356 126TH Rd
Stromsburg, NE 68666-6240
Phone (402) 764-2491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110523000688 NE Practitioner - Physician Assistant 1951587179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premise Health of Nevada Medical Hinitt P C 13 clinicians

Practice addresses (Care Compare)

810 N Diers Ave
Grand Island, NE 68803-4955
Phone (308) 381-2224

Hospital & facility affiliations

  • CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Urgent Care LLC CurrentSince Nov 21, 2018 Accepting new patients
Twin Rivers Urgent Care LLC CurrentSince Nov 21, 2018 Accepting new patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Jul 15, 2019 Accepting new patients
Foundations Counseling Past Accepting new patients
Hastings Radiology Associates PC Past Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

810 N Diers Ave
Grand Island, NE 68803
Phone (308) 381-2224

720 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-2500

3203 Osborne Dr W
Ste 101
Hastings, NE 68901
Phone (308) 384-2500

220 W Leota St
North Platte, NE 69101
Phone (308) 534-2268

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1578624490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 126TH RD",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686666240",
            "telephone_number": "402-764-2491",
            "fax_number": "402-764-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 4TH ST",
            "city": "STROMBERG",
            "state": "NE",
            "postal_code": "686660546",
            "telephone_number": "402-764-2491",
            "fax_number": "402-764-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "BRYAN",
        "middle_name": "D",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.