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General NPI Number Information
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NPI Number | 1083978357
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Entity Type | Individual
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Provider Name | BRIAN G BIGGERSTAFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2012
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 10005 N 60TH ST
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City | OMAHA
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State | NE
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Zip | 68152-1625
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Country | US
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Telephone | 402-547-8514
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Fax |
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Provider Business Mailing Address
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Address Line | 10005 N 60TH ST
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City | OMAHA
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State | NE
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Zip | 68152-1625
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Country | US
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Telephone | 402-547-8514
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | TEP6749
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License Number State | NE
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