Brodersen, Brendan

Brodersen, Brendan is an individual health care provider with primary practice located at 2221 S 17Th St Ste 310 , Lincoln NE 68502-3700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Brodersen, Brendan can be contacted via phone (402) 483-8555.

Contact Information

Primary practice address
2221 S 17Th St Ste 310 Lincoln NE 68502-3700
Phone: (402) 483-8555
Fax: (402) 483-8554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2668 Nebraska
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2668 Nebraska

Profile Details

NPI number 1518488501
LBN Legal business name Brodersen, Brendan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Jul 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518488501 NPPES
Nebraska MEDICAID 470553011-00

Popular Providers