Bryan Medical Center | |
1600 S 48th St Lincoln NE 68506-1283 | |
(402) 481-5792 | |
(402) 481-4755 |
Full Name | Bryan Medical Center |
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Speciality | Psychologist |
Location | 1600 S 48th St, Lincoln, Nebraska |
Authorized Official Name and Position | Eric N Mooss (PRESIDENT/CEO) |
Authorized Official Contact | 4024811111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bryan Medical Center 1600 S 48th St Lincoln NE 68506-1283 Ph: (402) 481-5792 | Bryan Medical Center 1600 S 48th St Lincoln NE 68506-1283 Ph: (402) 481-5792 |
NPI Number | 1497809966 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 04/17/2024 |
Certification Date | 04/17/2024 |
Medicare PECOS PAC ID | 4284628652 |
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Medicare Enrollment ID | O20201105000607 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497809966 | NPI | - | NPPES |
Provider Name | James V Rooks |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1841269792 PECOS PAC ID: 7012918915 Enrollment ID: I20070119000199 |
Provider Name | Anna Wanahita |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20070711000514 |
Provider Name | Suraj Suku |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20080808000395 |
Provider Name | Jeremy Salas |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1447447487 PECOS PAC ID: 0345386934 Enrollment ID: I20091013000378 |
Provider Name | Imad Uddin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245498906 PECOS PAC ID: 3870764285 Enrollment ID: I20110915000274 |
Provider Name | Pavankumar Bommasamudram |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20120725000093 |
Provider Name | Stephen Mikus |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20130910000128 |
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