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Bryan Physician Network

Family Medicine in Lincoln, NE. Organization (NPI-2).

NPI number1679528798
StatusActive
Last updated in NPPESJul 7, 2023

Details

NPI
1679528798
Entity type
Organization (NPI-2)
Legal business name
Bryan Physician Network
Organization subpart
No
Enumeration date
May 24, 2006
Certification date
Jul 7, 2023
Last updated
Jul 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
207V00000X Obstetrics & Gynecology––
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine––
2080N0001X Pediatrics, Neonatal-Perinatal Medicine––
2084N0400X Psychiatry & Neurology, Neurology––
2084P0800X Psychiatry & Neurology, Psychiatry––
208600000X Surgery––
2086S0122X Surgery, Plastic and Reconstructive Surgery––

Practice location

2222 S 16th St
Suite 400a
Lincoln, NE 68502-3796

Phone 402-483-8590 · Fax 402-483-8599

Mailing address

2222 S 16th St
Suite 400a
Lincoln, NE 68502-3796

Phone 402-483-8590 · Fax 402-483-8599

Authorized official

Joseph Mangiameli
President
4024815603

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