Active NPI
Bainbridge Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Grand Island, NE
National Provider Identifier
1659476000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025176800 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgical Physician Assistant
- Grand Island, NE
- NPI 1225031776
-
- Orthopaedic Surgery Physician
- Grand Island, NE
- NPI 1104829563
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.