Healthcare Provider Details

I. General information

NPI: 1912817982
Provider Name (Legal Business Name): BRADLEY TRAVIS LOHMAN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 N HEALTHY WAY
FREMONT NE
68025-2315
US

IV. Provider business mailing address

825 S 169TH ST
OMAHA NE
68118-9300
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-3370
  • Fax:
Mailing address:
  • Phone: 402-354-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number85384
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: