DR. BRENDAN JAMES MACKAY (NPI# 1083805758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083805758 |
| Entity Type | Individual |
| Full Name | DR. BRENDAN JAMES MACKAY |
| Credential | M.D. |
| Practice Address |
215 Mcneel Ln North Platte NE 69101-6054 |
| Practice Telephone | 3085346655 |
| Practice Fax Number | 3085346662 |
| Mailing Telephone | 3085346655 |
| Mailing Fax Number | 3085346662 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 28077 | NE | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | P2723 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
28077 | NE | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
P2723 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
215 MCNEEL LN |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194741827 | John D Hannah | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2006-07-14 |
| 1134779564 | Adam David Diediker | Nurse Practitioner | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2019-09-17 |
| 1790345536 | Marcelle Strydom | Nurse Practitioner | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2019-06-14 |
| 1487157459 | North Platte Nebraska Hospital Corporation | Durable Medical Equipment & Medical Supplies | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2018-03-15 |
| 1073022539 | Kayla Marie Carlson | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2017-09-27 |
| 1285083337 | Brett Kuhn | Physician Assistant | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2016-06-09 |
| 1669856209 | Paul Kuhlman | Physician Assistant | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2015-07-14 |
| 1063806222 | Jordan Paul Hiatt | Specialist/Technologist | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2015-03-26 |
| 1467897926 | Evan Scott Correll | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101 | 2013-05-09 |
| 1821393281 | Bryce Anthony Jarzynka | Physician Assistant | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2011-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952492845 | Dolf R Ichtertz | Orthopaedic Surgery | 716 N Alpha St, Grand Island, NE 68803-4318 | 2006-09-27 |
| 1013946318 | Robert M Cochran | Orthopaedic Surgery | 11819 Miracle Hills Dr Ste 203, Suite 203, Omaha, NE 68154-4428 | 2006-07-01 |
| 1912544628 | Ntm Consulting PC | Orthopaedic Surgery | 3500 Central Ave Ste A, Kearney, NE 68847-2963 | 2019-12-02 |
| 1366739625 | Gangadasu Reddy | Orthopaedic Surgery | 601 N 30th St, Omaha, NE 68131-2128 | 2011-07-06 |
| 1508197435 | Nebraska Hand & Shoulder Institute, P.C. | Orthopaedic Surgery | 716 N Alpha St, Grand Island, NE 68803-4318 | 2010-01-15 |
| 1184797110 | Tristan Layton Hartzell | Orthopaedic Surgery | 301 N 27th St, Suite 2, Norfolk, NE 68701-4401 | 2006-11-16 |
| 1912916594 | Daniel B Cullan II | Orthopaedic Surgery | 575 S 70th St Ste 200, Lincoln Ne 68510, Lincoln, NE 68510-2471 | 2006-08-05 |
| 1316971781 | David Clough | Orthopaedic Surgery | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2006-07-10 |
| 1245280361 | Nils A Nystrom | Orthopaedic Surgery | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2006-05-11 |
| 1992770614 | Richard Phillip Murphy | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
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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.