Organization
BRYAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T WOODRICH (INTERIM PRESIDENT/CEO)
(402) 481-1111
Entity
Organization
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1299
(402) 489-0200
Mailing address
PO BOX 860877, MINNEAPOLIS, MN 55486-0877
(402) 481-3548
(402) 481-8306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
500001
NE
282N00000X
General Acute Care Hospital
500003
NE
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010
BLUE CROSS/BLUE SHIELD
NE
Enumeration date
06/03/2006
Last updated
10/17/2025
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