Individual provider Active NPI

Bruce R Bednar, OTRL,CHT, CWCE

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1891748570
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
938 Issued in NE
Practice address
6120 Village Dr
Lincoln, NE 68516-4735
Phone
(402) 420-2626
Fax
(402) 420-6502
NPI assigned
May 17, 2006
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 938 NE Primary

Addresses

Primary practice location

6120 Village Dr
Lincoln, NE 68516-4735

Mailing address

1651 N 86TH St
Suite 100
Lincoln, NE 68505-3718
Phone (402) 484-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000946 NE Practitioner - Occupational Therapist in Private Practice 1456348549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 S 70TH St
Suite 200
Lincoln, NE 68510-7901
Phone (402) 436-2535

1651 N 86TH St
Suite 100
Lincoln, NE 68505-3719
Phone (402) 484-7117

6101 Village Dr
Suite 100
Lincoln, NE 68516-5830
Phone (402) 420-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
938NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Orthopedic Physical Therapy PC Occupational Therapist CurrentSince Jan 1, 2004 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Occupational Therapist CurrentSince Jan 1, 2004 Accepting new patients

Locations

6120 Village Dr
Lincoln, NE 68516
Phone (402) 420-2626

6101 Village Dr
Ste 100
Lincoln, NE 68516
Phone (402) 420-2626

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1891748570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N 86TH ST",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053718",
            "telephone_number": "402-484-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164735",
            "telephone_number": "402-420-2626",
            "fax_number": "402-420-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAR",
        "first_name": "BRUCE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OTRL,CHT, CWCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "938",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 12, 2013; 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.