Active NPI
Brandon James Essink, M.D.
- Family Medicine Physician
- Creighton, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22302
- Practice address
- 1503 Main St
Creighton, NE 68729-3007 - Phone
- (402) 358-5763
- Fax
- (402) 358-5797
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22302 | NE | Primary |
Addresses
Primary practice location
1503 Main St
Creighton, NE 68729-3007
Mailing address
PO Box 255
Creighton, NE 68729-0255
Phone (402) 358-5763
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7715180 | Medicaid | SD | |
| 1982604237 | Medicaid | IA | |
| 47062784612 | Medicaid | NE | |
| 244393 | Other | NE | MIDLANDS CHOICE |
| 04412 | Other | NE | BCBS OF NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040519001329 | NE | Practitioner - Family Practice | 9739170796 | Reassigns benefits to 6 organizations |
| I20201001002831 | MO | Practitioner - Hospitalist | 9739170796 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22302 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender Community Hospital District | Family Medicine | Current | Accepting new patients |
| Teledigm Physician Services, LLC | Current | Accepting new patients | |
| Bryan Hospital Kearney | Family Medicine | Current | Accepting new patients |
| Cox Barton County Hospital | Current | Accepting new patients | |
| Pender Community Hospital District | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Grand Island Regional Medical Center | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Pender Community Hospital District | Family Medicine | Current | Accepting new patients |
| Grand Island Regional Medical Center | Past | Accepting new patients |
Locations
29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266
1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269
1503 Main St
Creighton, NE 68729
Phone (402) 358-5700
3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
2222 S 16th St
Ste 401A
Lincoln, NE 68502
Phone (402) 483-8744
5733 S 34th St
Ste 500
Lincoln, NE 68516
Phone (531) 350-6970
300 N 2nd St
Oneill, NE 68763
Phone (402) 336-2900
100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083
Interoperability endpoints
- nea002382@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Grand Island, NE
- NPI 1225658495
NE
-
- Family Medicine Physician
- Pender, NE
- NPI 1992869101
Family Medicine, NE
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- Rural Health Clinic/Center
- Pender, NE
- NPI 1972931657
Family Medicine
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1558910604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1982604237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255",
"city": "CREIGHTON",
"state": "NE",
"postal_code": "687290255",
"telephone_number": "402-358-5763",
"fax_number": "402-358-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 MAIN ST",
"city": "CREIGHTON",
"state": "NE",
"postal_code": "687293007",
"telephone_number": "402-358-5763",
"fax_number": "402-358-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSINK",
"first_name": "BRANDON",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "22302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7715180",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982604237",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47062784612",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "244393",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "04412",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Creighton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.