BRONSON BOOSALIS (NPI# 1720426240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720426240 |
| Entity Type | Individual |
| Full Name | BRONSON BOOSALIS |
| Credential | M.D. |
| Practice Address |
7500 Mercy Rd Omaha NE 68124-2319 |
| Mailing Address |
7500 Mercy Rd Attn: Emergency Department Omaha NE 68124-2319 |
| Practice Telephone | 4025596802 |
| Mailing Telephone | 4023986060 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2016-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 28607 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE OF NEBRASKA | 28607 | 01 |
| Street Address |
7500 MERCY RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295728368 | Thomas W Frederickson | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2005-08-24 |
| 1356940381 | Brenna M Hobson | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-10-21 |
| 1538778246 | Dua Noor Butt | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-28 |
| 1730706185 | Stephen James Cooper | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-01 |
| 1609493527 | Meghan E Farquhar | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-26 |
| 1275158909 | Rebecca M Toomsen | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-09 |
| 1770106783 | Jennifer E Cook | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427671445 | Wesley J Kerman | Student in an Organized Health Care Education/Training Program | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427670678 | Nicholas David Tran | Surgery | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-11 |
| 1538712260 | Kirsten A Boedeker-jenkins | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2019-07-22 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1962900829 | Douglas J. Weedman, M.d., L.L.C. | Emergency Medicine | 210 S 16th St Apt 618, Omaha, NE 68102-1634 | 2018-01-25 |
| 1235659202 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 6005 N 72nd St Ste 101, Omaha, NE 68134-2300 | 2017-06-21 |
| 1417477498 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5062 S 155th St Ste 101, Omaha, NE 68137-5002 | 2017-06-21 |
| 1992225973 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 225 N Saddle Creek Rd Ste 101, Omaha, NE 68131-2228 | 2017-06-21 |
| 1366974776 | Cody Bonk | Emergency Medicine | 981150 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3522 | 2017-04-03 |
| 1265814321 | Bryan Michael Motwani | Emergency Medicine | 1705 N 49th St, Omaha, NE 68104-5043 | 2015-06-25 |
| 1972815108 | Michael Lee Beadnell | Emergency Medicine | 18710 L St, Omaha, NE 68135-3537 | 2010-07-02 |
| 1689894164 | Michael Westcott | Emergency Medicine | 9742 Ascot Dr, Omaha, NE 68114-3846 | 2007-04-26 |
| 1336365311 | Kelly S. Schroeder | Emergency Medicine | 10985 N 60th St, Omaha, NE 68152-1459 | 2007-04-18 |
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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.