Individual
DR. BRENT LEE CLYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7710 MERCY RD STE 2000, OMAHA, NE 68124-2323
(402) 717-0880
(402) 717-0880
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4821912-1205
UT
207T00000X
Neurological Surgery Physician
Primary
31812
NE
207T00000X
Neurological Surgery Physician
4821912-1235
UT
207T00000X
Neurological Surgery Physician
EMC0002923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174436 00
—
WY
Enumeration date
08/08/2006
Last updated
07/30/2025
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