Tierney, Brent Jonathan

Tierney, Brent Jonathan is an individual health care provider with primary practice located at 8303 Dodge St Suite 300, Omaha NE 68114-4108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Tierney, Brent Jonathan can be contacted via phone (402) 354-5250.

Contact Information

Primary practice address
8303 Dodge St Suite 300 Omaha NE 68114-4108
Phone: (402) 354-5250
Fax: (402) 354-3437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5627 Nebraska
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 35.097164 Ohio
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 27892 Nebraska

Profile Details

NPI number 1033316294
LBN Legal business name Tierney, Brent Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Nov 5th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033316294 NPPES
Nebraska MEDICAID 100250445-00
Nebraska MEDICAID 1033316294
Nebraska MEDICAID 100264208-00

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