DR. BRENT LEE CLYDE (NPI# 1700896552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700896552 |
| Entity Type | Individual |
| Full Name | DR. BRENT LEE CLYDE |
| Credential | M.D. |
| Practice Address |
7710 Mercy Rd Ste 2000 Omaha NE 68124-2323 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 4027170880 |
| Practice Fax Number | 4027170880 |
| Mailing Telephone | 4023986248 |
| Mailing Fax Number | 4028298513 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 4821912-1205 | UT | Other Service Providers |
| Y | 207T00000X | Neurological Surgery | 31812 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1174436 00 | 05 |
| Street Address |
7710 MERCY RD STE 2000 |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245215292 | Adil Abubaker Abdalla | Internal Medicine | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2005-12-13 |
| 1235752270 | Lindsey Kathleen Koop | Surgery | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2020-05-26 |
| 1942836960 | Genevieve Akouba Allou | Nurse Practitioner | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2020-03-21 |
| 1316500119 | Mara K Mcdermott | Nurse Practitioner | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2019-04-17 |
| 1497233555 | Lindsey K Dworak-swantek | Nurse Practitioner | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2018-08-01 |
| 1871071936 | Lauren B Magill | Nurse Practitioner | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2018-08-01 |
| 1275027823 | Amanda Strudthoff | Physician Assistant | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2018-06-18 |
| 1548650492 | Jessica M Veatch | Surgery | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2015-01-30 |
| 1558770743 | Haitam Mohamad Buaisha | Internal Medicine | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2014-08-13 |
| 1245643873 | Thomas Capasso | Surgery | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2014-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787783 | Md West One, PC | Neurological Surgery | 7710 Mercy Rd Ste 224, Omaha, NE 68124-2346 | 2017-05-17 |
| 1023062999 | Aviva Abosch | Neurological Surgery | 4242 Farnam St Ste 550, Omaha, NE 68131-2813 | 2006-05-22 |
| 1164057808 | Jamie Wilson | Neurological Surgery | 4242 Farnam St Ste 550, Omaha, NE 68131-2813 | 2020-03-03 |
| 1760028153 | Md West One, PC | Neurological Surgery | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2019-11-21 |
| 1316508906 | Luke Weisbrod | Neurological Surgery | 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 | 2019-06-25 |
| 1194210484 | Alan C Wang | Neurological Surgery | 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 | 2018-06-28 |
| 1518457092 | Frank Mezzacappa | Neurological Surgery | 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 | 2018-05-10 |
| 1093244980 | Joseph Paul Menousek | Neurological Surgery | 982035 Nebraska Medical Ctr, Omaha, NE 68198-2035 | 2017-06-05 |
| 1396272498 | Md West One, PC | Neurological Surgery | 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 | 2017-05-19 |
| 1922535236 | Md West One, PC | Neurological Surgery | 17030 Lakeside Hills Plz Ste 200, Omaha, NE 68130-2396 | 2017-05-17 |
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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.