DR. BRENT JONATHAN TIERNEY (NPI# 1033316294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033316294 |
| Entity Type | Individual |
| Full Name | DR. BRENT JONATHAN TIERNEY |
| Credential | M.D. |
| Practice Address |
8303 Dodge St Suite 300 Omaha NE 68114-4108 |
| Mailing Address |
Po Box 10190 Virginia Beach VA 23450-0190 |
| Practice Telephone | 4023545250 |
| Practice Fax Number | 4023543437 |
| Mailing Telephone | 8004775240 |
| Mailing Fax Number | 7574636572 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 5627 | NE | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
27892 | NE | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
35.097164 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100250445-00 | 05 | |
| NE | 100264208-00 | 05 | |
| IA | 1033316294 | 05 |
| Street Address |
8303 DODGE ST SUITE 300 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061528 | Herbert Arthur Hartman Jr. | Internal Medicine | 8303 Dodge St, Ste 225, Omaha, NE 68114 | 2005-08-25 |
| 1487251120 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-10-06 |
| 1538771381 | Krista Villarreal | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-21 |
| 1437769163 | Julie Juddi | Dietitian, Registered | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-06 |
| 1023631934 | Jaclyn E Kenney | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-26 |
| 1215558846 | Linda Yen Nong | Pharmacist | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-05 |
| 1265990303 | Amanda J Nelson | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1194283226 | Haley R Mcmillin | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1336618578 | Emily Schlautman | Physician Assistant | 8303 Dodge St, Suite 225, Omaha, NE 68114-4108 | 2018-11-16 |
| 1134602105 | Michael Gurtler | Genetic Counselor, MS | 8303 Dodge St, Omaha, NE 68114-4108 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144334566 | Murray J. Casey | Obstetrics & Gynecology | 601 N 30th St Ste 4700, Omaha, NE 68131-2137 | 2006-08-19 |
| 1578514956 | David R. Crotzer | Obstetrics & Gynecology | 8303 Dodge St, Suite # 300, Omaha, NE 68114-4108 | 2006-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.