Healthcare Provider Details

I. General information

NPI: 1942946389
Provider Name (Legal Business Name): BRYANT PATRICK CARLSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1173 S 8TH ST
ALBION NE
68620-1736
US

IV. Provider business mailing address

PO BOX 151
ALBION NE
68620-0151
US

V. Phone/Fax

Practice location:
  • Phone: 402-395-5013
  • Fax: 402-395-2180
Mailing address:
  • Phone: 405-395-5013
  • Fax: 402-395-2327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36324
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: