Bradlee Neal Novotny, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1029 Issued in NE

Practice address

4401 N 7TH St
Lincoln, NE 68521-2425

Phone

(402) 476-8619

Fax

(402) 476-8634

NPI assigned

Jul 19, 2006

Last updated

Apr 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bradlee N Novotny, D.C., P.C.

  • Physical Medicine & Rehabilitation Physician
  • Lincoln, NE
  • NPI 1073723425

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1821018573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N 7TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212425",
            "telephone_number": "402-476-8619",
            "fax_number": "402-476-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N 7TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212425",
            "telephone_number": "402-476-8619",
            "fax_number": "402-476-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "BRADLEE",
        "middle_name": "NEAL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075845400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Mariah Novak
• Kalli Gabrielle Novak
• Teresa L Novak, PA
• Novo Chiropractic, LLC (Novo Chiropractic Lincoln)
• Alyssa Novothy
• Danette Novotny, MA, PLMHP
• Kelsey M Novotny, D.C.
• Kimberly A Novotny, B.S
• Markie Novotny, APRN
• Troy Lee Novotny

• Chiropractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.