MEDICARE: BRYAN MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184786295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRYAN MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1600 S 48TH ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1299
Country	:	US
Telephone Number	:	402-481-3888
Fax Number	:	402-481-8094

Provider Business Practice Location Address
First Line	:	1600 S 48TH ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1299
Country	:	US
Telephone Number	:	402-481-3888
Fax Number	:	402-481-8094

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	ERIC N MOOSS
Credential	:
Telephone Number	:	402-481-1111

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	04/17/2024

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Directions to “BRYAN MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

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