Organization Active NPI

Bainbridge Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Grand Island, NE
National Provider Identifier
1659476000
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BAINBRIDGE ORTHOPAEDIC CLINIC
Practice address
820 Alpha St
Grand Island, NE 68803
Phone
(308) 381-7200
Fax
(308) 382-3335
NPI assigned
Sep 13, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Gordon Dell Bainbridge, MD
Title
Director
Phone
(308) 381-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

820 Alpha St
Grand Island, NE 68803

Mailing address

PO Box 5500
Grand Island, NE 68802
Phone (308) 381-7200

Other identifiers 1

IdentifierTypeStateIssuer
10025176800MedicaidNE

National Provider Directory

National Provider Directory

Locations

820 N Alpha St
Grand Island, NE 68803
Phone (308) 381-7200

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1659476000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68802",
            "telephone_number": "308-381-7200",
            "fax_number": "308-382-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ALPHA ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68803",
            "telephone_number": "308-381-7200",
            "fax_number": "308-382-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE ORTHOPAEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BAINBRIDGE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "308-381-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025176800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.