Brendan Brodersen, DO | |
2221 S 17th St Ste 310, Lincoln, NE 68502-3700 | |
(402) 483-8555 | |
(402) 483-8554 |
Full Name | Brendan Brodersen |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2221 S 17th St Ste 310, Lincoln, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518488501 | NPI | - | NPPES |
470553011-00 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2668 (Nebraska) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 2668 (Nebraska) | Primary |
Entity Name | Bryan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679528798 PECOS PAC ID: 7315915873 Enrollment ID: O20040922000523 |
Mailing Address | Practice Location Address |
---|---|
Brendan Brodersen, DO 2221 S 17th St Ste 310, Lincoln, NE 68502-3700 Ph: (402) 483-8555 | Brendan Brodersen, DO 2221 S 17th St Ste 310, Lincoln, NE 68502-3700 Ph: (402) 483-8555 |
Stephanie Sutton, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 550 N 19th St, Lincoln, NE 68588 Phone: 402-472-5000 | |
Dr. Walter J Duffy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8101 O St, Suite 300, Lincoln, NE 68510 Phone: 402-476-6060 Fax: 402-476-6809 | |
Soa Yuc Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 S 70th St, Lincoln, NE 68510 Phone: 402-489-3802 | |
Dianna M Clyne, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4444 South 86th St, Suite 102, Lincoln, NE 68526 Phone: 402-476-7557 Fax: 402-769-9912 | |
Michael William Vavra, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2222 S 16th St Ste 340, Lincoln, NE 68502 Phone: 402-483-8534 Fax: 402-483-8531 | |
Zakaria Siddiqui, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2221 S 17th St, Suite 202, Lincoln, NE 68502 Phone: 402-483-8555 Fax: 402-483-8554 | |
Ana Luisa Delgado, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7441 O St Ste 104, Lincoln, NE 68510 Phone: 402-853-0993 Fax: 402-853-0197 |