Individual provider Active NPI

Brandon James Essink, M.D.

  • Family Medicine Physician
  • Creighton, NE
National Provider Identifier
1982604237
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22302 Issued in NE
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

Updated by the provider on Jan 9, 2013

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 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

IdentifierTypeStateIssuer
7715180MedicaidSD
1982604237MedicaidIA
47062784612MedicaidNE
244393OtherNEMIDLANDS CHOICE
04412OtherNEBCBS OF NE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
22302NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Community Hospital District Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Teledigm Physician Services, LLC CurrentSince Mar 1, 2015 Accepting new patients
Bryan Hospital Kearney Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cox Barton County Hospital CurrentSince Aug 1, 2020 Accepting new patients
Pender Community Hospital District Current Accepting new patients
Bryan Hospital Kearney CurrentSince Jul 1, 2022 Accepting new patients
Grand Island Regional Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Pender Community Hospital District Family Medicine CurrentSince Aug 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.