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Bryan Physician Network

Organization Active NPI Family Medicine Physician · Lincoln, NE

NPI 1679528798 · NPPES record last updated Jul 7, 2023

Key facts

NPI
1679528798
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
BRYAN PHYSICIAN NETWORK
Practice address
2222 S 16TH St
Suite 400a
Lincoln, NE 68502-3796
Phone
(402) 483-8590
Fax
(402) 483-8599
NPI assigned
May 24, 2006
Organization subpart
No

Authorized official

Name
Joseph Mangiameli Jr.
Title
President
Phone
(402) 481-5603

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Member organizations 1

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

Practitioners 345

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 345

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NE, KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040922000523 NE Part B Supplier - Clinic/Group Practice 7315915873 Receives reassigned benefits from 254 practitioners
O20220309001708 KS Part B Supplier - Clinic/Group Practice 7315915873 Receives reassigned benefits from 2 practitioners
Practice locations: Marysville, KS; Stilwell, KS

National Provider Directory

Locations (25 of 46)

601 Highway 6
Ashland, NE 68003

601 Highway 6
Ste A
Ashland, NE 68003
Phone (402) 481-0570

3563 Prairieview St
Ste 200A
Grand Island, NE 68803

820 N Alpha St
Ste 1
Grand Island, NE 68803

800 N Alpha St
Ste 100
Grand Island, NE 68803

3563 Prairieview St
Ste 200B
Grand Island, NE 68803

3901 Pine Lake Rd
Ste 214
Lincoln, NE 68516
Phone (402) 420-3512

6900 Van Dorn St
Ste 24
Lincoln, NE 68506
Phone (402) 483-3400

2222 S 16th St
Ste 430A
Lincoln, NE 68502
Phone (402) 483-8389

2221 S 17th St
#102
Lincoln, NE 68502
Phone (402) 477-4545

2222 S 16th St
Ste 340B
Lincoln, NE 68502

3901 Pine Lake Rd
Ste 201
Lincoln, NE 68516

3901 Pine Lake Rd
Ste 335A
Lincoln, NE 68516
Phone (402) 483-3730

825 J St
Lincoln, NE 68508
Phone (402) 441-6329

2222 S 16th St
Ste 405B
Lincoln, NE 68502
Phone (402) 481-5860

2222 S 16th St
Ste 340
Lincoln, NE 68502
Phone (402) 483-8534

1500 S 48th St
Ste 511
Lincoln, NE 68506
Phone (402) 420-3002

2300 S 16th St
Ste C
Lincoln, NE 68502

8207 Northwoods Dr
Ste 106
Lincoln, NE 68505
Phone (402) 483-8585

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

5055 A St
Ste 200
Lincoln, NE 68510
Phone (402) 483-8630

2200 S 40th St
Ste 102
Lincoln, NE 68506
Phone (402) 405-0500

5901 N 27th St
Ste 100
Lincoln, NE 68521

2222 S 16th St
#1
Lincoln, NE 68502

2355 Superior St
Lincoln, NE 68521
Phone (402) 261-8973

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207Q00000X Yes
Internal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207R00000X
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207V00000X
Maternal & Fetal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207VM0101X
Neonatal-Perinatal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2080N0001X
Neurology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2084N0400X
Psychiatry Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2084P0800X
Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208600000X
Plastic and Reconstructive Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2086S0122X

Addresses

Primary practice location

2222 S 16TH St
Suite 400a
Lincoln, NE 68502-3796

Mailing address

2222 S 16TH St
Suite 400a
Lincoln, NE 68502-3796
Phone (402) 483-8590

Other identifiers

IdentifierTypeStateIssuer
10025382000MedicaidNE
10025392200MedicaidNE
10025636100MedicaidNE
10025136400MedicaidNE
10025718000MedicaidNE
10025896400MedicaidNE
10026418100MedicaidNE
10025481300MedicaidNE
10026454500MedicaidNE
10026311700MedicaidNE
10026416000MedicaidNE
10026464400MedicaidNE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address direct@hisp.bryanhealth.org
Direct Messaging Address direct@hisp.bryanhealth.org Direct

Other providers in Lincoln, NE

All providers in Lincoln, NE · Family Medicine Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.