Healthcare Provider Details

I. General information

NPI: 1801719331
Provider Name (Legal Business Name): TRENTON MICHAEL BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TRENT BROWN

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

IV. Provider business mailing address

101 MAIN ST
ALVO NE
68304-9700
US

V. Phone/Fax

Practice location:
  • Phone: 402-525-0295
  • Fax:
Mailing address:
  • Phone: 402-525-0295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number100019
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number100019
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: