NPIMap

Organization Active NPI

Bryan Medical Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lincoln, NE
National Provider Identifier
1629157789
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
BRYAN MEDICAL CENTER
Practice address
1600 S 48TH St
Lincoln, NE 68506-1283
Phone
(402) 489-0200
Fax
(402) 481-4755
NPI assigned
Nov 2, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BRYAN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Michael Johnston
Title
President & Ceo
Phone
(402) 481-3548

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X
Vascular Surgery Physician 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary

Addresses

Primary practice location

1600 S 48TH St
Lincoln, NE 68506-1283

Mailing address

P.O. Box 6168
Lincoln, NE 68506-0168
Phone (402) 483-8590

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@hisp.bryanhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NV, LA, CO, TX, NC6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040409000481 NE Part B Supplier - Clinic/Group Practice 4284628652 Receives reassigned benefits from 63 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE; Crete, NE
O20221122002543 NV Part B Supplier - Clinic/Group Practice 4284628652 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Reno, NV
O20240126002064 LA Part B Supplier - Clinic/Group Practice 4284628652 Receives reassigned benefits from 1 practitioner
Practice locations: Slidell, LA
O20240809001226 CO Part B Supplier - Clinic/Group Practice 4284628652 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20250311000004 TX Part B Supplier - Clinic/Group Practice 4284628652 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Lewisville, TX
O20260401002000 NC Part B Supplier - Clinic/Group Practice 4284628652 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

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.

National Provider Directory

National Provider Directory
Part of
Bryan Memorial Hospital

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Locations

1500 S 48th St
Fl 1
Lincoln, NE 68506
Phone (402) 489-0200

1500 S 48th St
Ste 400
Lincoln, NE 68506
Phone (402) 481-8500

1600 S 48th St
#170
Lincoln, NE 68506
Phone (402) 483-3663

1600 S 48th St
Ste 301
Lincoln, NE 68506
Phone (402) 481-3321

1640 Lake St
Lincoln, NE 68502
Phone (402) 481-5268

2221 S 17th St
Ste 100
Lincoln, NE 68502
Phone (402) 481-5920

2222 S 16th St
Ste 100
Lincoln, NE 68502
Phone (402) 481-4008

2222 S 16th St
Ste 110
Lincoln, NE 68502
Phone (402) 481-9100

3901 Pine Lake Rd
Ste 100
Lincoln, NE 68516
Phone (402) 481-6060

3901 Pine Lake Rd
Ste 110
Lincoln, NE 68516
Phone (402) 481-6090

3901 Pine Lake Rd
Ste 335
Lincoln, NE 68516
Phone (402) 416-2221

4101 Tiger Lily Rd
Ste 110
Lincoln, NE 68516
Phone (402) 481-7973

4101 Tiger Lily Rd
Ste 120
Lincoln, NE 68516
Phone (402) 481-7937

4101 Tiger Lily Rd
Ste 130
Lincoln, NE 68516
Phone (402) 481-7900

5901 N 27th St
Ste 102
Lincoln, NE 68521
Phone (402) 481-6343

7501 S 27th St
#100
Lincoln, NE 68512
Phone (402) 481-6313

1145 S Utica Ave
Ste 365
Tulsa, OK 74104
Phone (402) 481-3548

Practitioners & affiliated clinicians

Practitioners 143

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 143

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1629157789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6168",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060168",
            "telephone_number": "402-483-8590",
            "fax_number": "402-483-8599"
        },
        {
            "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": "685061283",
            "telephone_number": "402-489-0200",
            "fax_number": "402-481-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRYAN MEDICAL CENTER",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "402-481-3548"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.