Individual
BRIAN K ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2116 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4678
(308) 398-5560
Mailing address
2000 Q ST, SUITE 500, LINCOLN, NE 68503-3609
(402) 421-0904
(402) 421-0946
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16225
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0586172
—
IA
05
—
200311350A
—
KS
05
—
207229501
—
MO
05
—
207229501
—
MS
01
—
2808
MIDLANDS CHOICE
—
01
—
35182
BCBS
NE
01
—
39-00282
UHC
NE
01
—
39-01296
UHC
—
05
—
470780857 34
—
NE
05
—
7713920
—
SD
Enumeration date
08/31/2006
Last updated
02/16/2017
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