# BRYAN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRYAN MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629157789
- **Legal business name:** BRYAN MEDICAL CENTER
- **Authorized official:** MICHAEL JOHNSTON (PRESIDENT & CEO)
- **Authorized official phone:** (402) 481-3548

## Contact information

- **Practice address:** 1600 S 48TH ST, LINCOLN, NE 68506-1283
- **Practice address phone:** (402) 489-0200
- **Practice address fax:** (402) 481-4755
- **Mailing address:** P.O. BOX 6168, LINCOLN, NE 68506-0168
- **Mailing address phone:** (402) 483-8590
- **Mailing address fax:** (402) 483-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 03/05/2026