MEDICARE: DR. CHRISTOPHER BRIAN MAWN M.D.

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	174400000X	Specialist	0101050521	VA
2	207Y00000X	Otolaryngology Physician	CP1767	NE
3	207Y00000X	Otolaryngology Physician	50994	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	040016845	OTHER	VA	MEDICARE RR #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	460076	OTHER	VA	ANTHEM BC/BS #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P01078922	OTHER	CO	MCR RAILROAD

General Provider Information

NPI Number	:	1487608246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER BRIAN MAWN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1800
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68602-1800
Country	:	US
Telephone Number	:	402-564-7118
Fax Number	:	720-321-8411

Provider Business Practice Location Address
First Line	:	4508 38TH ST STE 152
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-563-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	01/28/2026

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