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Organization
BRYAN PHYSICIAN NETWORK
Active
Organization
BRYAN PHYSICIAN NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MANGIAMELI JR. (PRESIDENT)
(402) 481-5603
Entity
Organization
Contact information
Practice address
2222 S 16TH ST, SUITE 400A, LINCOLN, NE 68502-3796
(402) 483-8590
(402) 483-8599
Mailing address
2222 S 16TH ST, SUITE 400A, LINCOLN, NE 68502-3796
(402) 483-8590
(402) 483-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
NULL
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025136400
—
NE
05
—
10025382000
—
NE
05
—
10025392200
—
NE
05
—
10025481300
—
NE
05
—
10025636100
—
NE
05
—
10025718000
—
NE
05
—
10025896400
—
NE
05
—
10026311700
—
NE
05
—
10026416000
—
NE
05
—
10026418100
—
NE
05
—
10026454500
—
NE
05
—
10026464400
—
NE
Enumeration date
05/24/2006
Last updated
07/07/2023
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