MEDICARE: BRIAN G BIGGERSTAFF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	TEP6749	NE

General Provider Information

NPI Number	:	1083978357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN G BIGGERSTAFF M.D.

Provider Business Mailing Address
First Line	:	10005 N 60TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68152-1625
Country	:	US
Telephone Number	:	402-547-8514
Fax Number	:

Provider Business Practice Location Address
First Line	:	10005 N 60TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68152-1625
Country	:	US
Telephone Number	:	402-547-8514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2012
Last Update Date	:	10/14/2025

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