Individual provider Active NPI

Brock R Lasure, M.D.

  • Family Medicine Physician
  • Bellevue, NE
National Provider Identifier
1922055532
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22937 Issued in NE
Practice address
1103 Galvin Rd S Ste G
Bellevue, NE 68005-3000
Phone
(402) 292-1072
Fax
(402) 292-0742
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22937 NE Primary

Addresses

Primary practice location

1103 Galvin Rd S Ste G
Bellevue, NE 68005-3000

Mailing address

1103 Galvin Rd S Ste G
Bellevue, NE 68005-3000
Phone (402) 292-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000799 NE Practitioner - Family Practice 2860429982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FP Associates, P.C.Group PAC ID 3274574595, 2 clinicians

Practice addresses (Care Compare)

1103 Galvin Rd S
Suite G
Bellevue, NE 68005-3000
Phone (402) 292-1072

Hospital & facility affiliations

  • Hillcrest Home Care Home health agency, Bellevue, NE, CCN 287133
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as apm
Quality
88.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
FP Associates, P.C. Family Medicine CurrentSince May 18, 2007 Accepting new patients

Locations

1103 Galvin Rd S
Ste G
Bellevue, NE 68005
Phone (402) 292-1072

1103 Galvin Rd S
Ste B
Bellevue, NE 68005
Phone (402) 292-7400

Organizations & group practices 1

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1922055532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 GALVIN RD S STE G",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053000",
            "telephone_number": "402-292-1072",
            "fax_number": "402-292-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GALVIN RD S STE G",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053000",
            "telephone_number": "402-292-1072",
            "fax_number": "402-292-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASURE",
        "first_name": "BROCK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.