BRYAN MEDICAL CENTER – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1629157789
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BRYAN MEDICAL CENTER
William Jennings Bryan, 1600, South 48th Street, Piedmont, Lincoln, Lancaster County, Nebraska, 68510, United States
LINCOLN, NE 685061283
Phone: (402) 489-0200
Fax: (402) 481-4755
Type: Location
Lincoln, Prolongación Paseo Montejo, Benito Juárez Norte, Mérida, Yucatán, 97119, Mexico
LINCOLN, NE 685060168
Phone: (402) 483-8590
Fax: (402) 483-8599
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (281 days ago).
Enrollment records
3
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040409000481 | O | Clinic/Group Practice | NE | 2025-08-31 |
| O20240126002064 | O | Clinic/Group Practice | LA | TBD |
| O20240809001226 | O | Clinic/Group Practice | CO | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68506)
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