Healthcare Provider Details

I. General information

NPI: 1043390438
Provider Name (Legal Business Name): BRYAN MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S 16TH ST
LINCOLN NE
68502-3780
US

IV. Provider business mailing address

1600 S 48TH ST
LINCOLN NE
68506-1299
US

V. Phone/Fax

Practice location:
  • Phone: 402-475-1011
  • Fax: 402-481-4755
Mailing address:
  • Phone: 402-489-0200
  • Fax: 402-481-4755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number500003
License Number StateNE

VIII. Authorized Official

Name: JOHN T WOODRICH
Title or Position: INTERIM PRESIDENT/CEO
Credential:
Phone: 402-481-3548