Organization Active NPI

R. Samuel Bryant MD PC

  • Plastic Surgery Physician
  • Lincoln, NE
National Provider Identifier
1881919983
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17600 Issued in NE
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

Updated by the provider on Jan 14, 2014

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10025893600MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.