Bryan Physician Network

Primary specialty

Family Medicine PhysicianTaxonomy code 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

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Mangiameli Jr.

Title

President

Phone

(402) 481-5603

Specialties & licenses 9

Addresses

Other identifiers 12

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NE, KS2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Bryan Physician Network

  dba Capital Foot & Ankle

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1083205512

  7315915873

  Same PAC ID

Locations (25 of 41)

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.

• Bryan Physician Network

  dba Capital Foot & Ankle

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1083205512
  NPPES parent name

Practitioners 344

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.

• Amy L Agena, PA-C

  • Medical Physician Assistant
  • Lincoln, NE
  • NPI 1114195526
  Medicare reassignment Care Compare group NPD
• Akshay Sunil Agrawal, MD

  • Internal Medicine Physician
  • Grand Island, NE
  • NPI 1871164848

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Yazan Odeh Ali Alzedaneen

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1821607102
  Medicare reassignment Care Compare group NPD
• Natasha Nicole Andersen, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1013446913
  Medicare reassignment Care Compare group NPD
• Collin Lane Bond Arredondo, PA

  • Physician Assistant
  • Lincoln, NE
  • NPI 1588316376
  Medicare reassignment Care Compare group NPD
• Hailey Artz, DO

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1467958603
  Medicare reassignment Care Compare group NPD
• Molly Ruth Babl, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1407255086

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Danielle Bachman, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1437691011
  Medicare reassignment Care Compare group NPD
• Chelsea Baird, APRN

  • Nurse Practitioner
  • Lincoln, NE
  • NPI 1770360836
  Medicare reassignment Care Compare group NPD
• Katherine Amanda Bangert, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1861162943
  Medicare reassignment Care Compare group NPD
• Mopelola Bankole, APRN

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1487483988
  Medicare reassignment Care Compare group NPD
• Claire Savera Baweja, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Lincoln, NE
  • NPI 1285259671
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1679528798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "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": "2222 S 16TH ST",
            "address_2": "SUITE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-483-8590",
            "fax_number": "402-483-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MANGIAMELI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-481-5603",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025896400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025382000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025481300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025136400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025636100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025718000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026454500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026464400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025392200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026311700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026416000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026418100",
            "state": "NE"
        }
    ],
    "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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@hisp.bryanhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2222 S 16th St",
            "address_2": "Suite 400A",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryan Medical Center (Bryan Medical Center Laboratory)
• Bryan Medical Center
• Bryan Medical Center
• Bryan Medical Center
• Bryan Physician Network (Capital Foot & Ankle)
• Bryan Plaza Pharmacy
• Kristine Bryan
• Maia Tamsyn Bryan
• Bryanlgh Medical Center (BryanLGH home Health Care)
• Bryanlgh West Medical Center

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.