Reem Al Turk Bryson, PA

Individual provider Active NPI Physician Assistant · Gretna, NE

NPI 1962953513 · NPPES record last updated Oct 19, 2016

Key facts

NPI
1962953513
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
2067 (NE)
Practice address
102 W Gruenther Rd
Gretna, NE 68028-4828
Phone
(402) 332-2772
Fax
(402) 332-5446
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2067 NE Yes

Addresses

Primary practice location

102 W Gruenther Rd
Gretna, NE 68028-4828

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6254

Other providers in Gretna, NE

All providers in Gretna, NE · Physician Assistant in Nebraska

Sources for this page

Verify at the official NPI Registry.