Healthcare Provider Details

I. General information

NPI: 1174365563
Provider Name (Legal Business Name): GALEN D BERNADT APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62008 716 RD
STEINAUER NE
68441-2521
US

IV. Provider business mailing address

7411 DOTSON RD
LINCOLN NE
68505-2521
US

V. Phone/Fax

Practice location:
  • Phone: 402-310-0854
  • Fax: 402-520-6610
Mailing address:
  • Phone: 402-310-0854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number62325
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number115505
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: