# BRYAN PHYSICIAN NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679528798
- **Authorized official:** JOSEPH MANGIAMELI JR. (PRESIDENT)
- **Authorized official phone:** (402) 481-5603

## Contact information

- **Practice address:** 2222 S 16TH ST, SUITE 400A, LINCOLN, NE 68502-3796
- **Practice address phone:** (402) 483-8590
- **Practice address fax:** (402) 483-8599
- **Mailing address:** 2222 S 16TH ST, SUITE 400A, LINCOLN, NE 68502-3796
- **Mailing address phone:** (402) 483-8590
- **Mailing address fax:** (402) 483-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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

- **Enumeration date:** 05/24/2006
- **Last updated:** 07/07/2023

## 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 |