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PHILLIP TRACY BRIGDEN D.D.S. NPI 1013297332


NPI Information

NPI: 1013297332
Provider Name: PHILLIP TRACY BRIGDEN, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
11919 GRANT ST STE 140
OMAHA, NE
ZIP 68164
Phone: (402) 493-4175
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Phillip Tracy Brigden, D.D.S. is a general practice dentist in Omaha, NE with 30 years of experience. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Phillip Tracy Brigden, D.D.S. NPI is 1013297332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Graduation Year:1994

The provider's business location address is:

11919 GRANT ST STE 140
OMAHA, NE
ZIP 68164-475
Phone: (402) 493-4175
Fax: (877) 811-8129

The NPI 1013297332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray imaging of teeth (HCPCS:70355)

The enumeration date for this NPI number is 8/17/2011 and was last updated on 9/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist5969NEBRASKANo
21223G0001XDentistGeneral Practice5969NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.