Brian Harold Cunningham, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

37170 Issued in IA

Practice address

1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916

Phone

(319) 235-3697

Fax

(319) 235-3844

NPI assigned

Mar 9, 2007

Last updated

Apr 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Nebraska College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska Orthopaedic Hospital LLCGroup PAC ID 5395645279, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
• Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nebraska Orthopaedic Hospital LLC

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1407087489
  Medicare reassignment Care Compare group
• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment NPD
• VWB LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1154943835
  Medicare reassignment NPD
• Premier Urgent Care/Family Care of Nebraska LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1619354511
  NPD
• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069
  NPD (past)
• New Century Physicians of Iowa PC

  • Emergency Medicine Physician
  • Council Bluffs, IA
  • NPI 1548269301
  NPD (past)
• North Platte Nebraska Physician Group LLC

  • Emergency Medicine Physician
  • North Platte, NE
  • NPI 1740465715
  NPD (past)

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

• Nebraska Orthopaedic Hospital LLC

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356345318
  Care Compare affiliation
• Saint Elizabeth Regional Medical Center

  dba CHI Health St. Elizabeth

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1336155738
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1619009537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "BRIAN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NE",
            "license": "TEP 5009",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "37170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Crum, ATC
• Heather E. Cue, ARNP
• Rhonda Ann Cue, ARNP
• Dilan J Cummings, DC
• Desiree K Cunningham-Loggins, LISW
• Darron Paul Cutler, DO
• Levi Kenneth Dahle, CRNA
• Bethany Daly, PTA
• Jodi Danielsen, LMHC
• Tarek Michel Daoud, MD

• Emergency Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.