Healthcare Provider Details

I. General information

NPI: 1528006103
Provider Name (Legal Business Name): BRYAN MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S 48TH ST
LINCOLN NE
68506-1299
US

IV. Provider business mailing address

PO BOX 860877
MINNEAPOLIS MN
55486-0877
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-0200
  • Fax:
Mailing address:
  • Phone: 402-481-3548
  • Fax: 402-481-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number500003
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number500001
License Number StateNE

VIII. Authorized Official

Name: JOHN T WOODRICH
Title or Position: INTERIM PRESIDENT/CEO
Credential:
Phone: 402-481-1111