Healthcare Provider Details
I. General information
NPI: 1598756918
Provider Name (Legal Business Name): ANTHONY BRIGNONI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/03/2005
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5055 A ST STE 200
LINCOLN NE
68510-4970
US
IV. Provider business mailing address
PO BOX 860876
MINNEAPOLIS MN
55486-0876
US
V. Phone/Fax
- Phone: 402-483-8630
- Fax:
- Phone: 402-483-8590
- Fax: 402-483-8599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME59140 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | CP2188 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: