Premier O&P Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO03152 Issued in NE

Legal business name

PREMIER O&P INC.

Practice address

3705 South St Ste 100
Lincoln, NE 68506-6044

Phone

(402) 420-0426

Fax

(402) 420-0427

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Brandon Green, OPNPI 1851665244

Title

Owner / Orthotics & Prosthetics

Phone

(308) 627-3198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Brandon K Green

  • Prosthetic/Orthotic Supplier
  • Lincoln, NE
  • NPI 1851665244
  NPD (past) Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1720353980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 SOUTH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066044",
            "telephone_number": "402-420-0426",
            "fax_number": "402-420-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 SOUTH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066044",
            "telephone_number": "402-420-0426",
            "fax_number": "402-420-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER O&P INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER / ORTHOTICS & PROSTHETICS",
        "authorized_official_telephone_number": "308-627-3198",
        "authorized_official_credential": "OP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NE",
            "license": "CPO03152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Prosthetic/Orthotic Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.