Active NPI
R. Samuel Bryant MD PC
- Plastic Surgery Physician
- Lincoln, NE
National Provider Identifier
1881919983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 17600
- Legal business name
- R. SAMUEL BRYANT MD PC
- Practice address
- 7001 A St Ste 100
Lincoln, NE 68510-4205 - Phone
- (402) 484-7001
- Fax
- (402) 484-7006
- NPI assigned
- Mar 31, 2010
- 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
- R. Samuel Bryant, MD
- Title
- President
- Phone
- (402) 484-7001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 17600 | NE | Primary |
Addresses
Primary practice location
7001 A St Ste 100
Lincoln, NE 68510-4205
Mailing address
7001 A St Ste 100
Lincoln, NE 68510-4205
Phone (402) 484-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025893600 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
7001 A St
Ste 100
Lincoln, NE 68510
Phone (402) 484-7001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1881919983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 A ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104205",
"telephone_number": "402-484-7001",
"fax_number": "402-484-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 A ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104205",
"telephone_number": "402-484-7001",
"fax_number": "402-484-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R. SAMUEL BRYANT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "R.",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-484-7001",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NE",
"license": "17600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025893600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.