Phillip Tracy Brigden (NPI# 1013297332, PAC ID# 8426308545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DENTIST.
| Nation Provider ID (NPI) | 1013297332 |
| PAC ID by PECOS | 8426308545 |
| Professional Enrollment ID | I20181009000960 |
| Full Name | Phillip Tracy Brigden |
| Organization Legal Name | R. W. ROUBAL, D.D.S., P.C. |
| Address |
11919 Grant St 110 140 Omaha NE 68164-3475 |
| Phone Number | 4024934175 |
| Gender | M |
| Medical School | UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY |
| Graduation Year | 1994 |
| Primary Specialty | DENTIST |
| Group Practice PAC ID | 7315092863 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 11919 Grant St, 110 140, Omaha, NE 68164-3475 | 4024934175 | R. W. ROUBAL, D.D.S., P.C. |
| Organization Legal Name | R. W. ROUBAL, D.D.S., P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger W Roubal | Oral Surgery | R. W. Roubal, D.d.s., P.C. | 11919 Grant St, 110 140, Omaha, NE 68164-3475 |
| Street Address |
11919 GRANT ST 110 140 |
| City | OMAHA |
| State | NE |
| Zip | 68164-3475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger W Roubal | Oral Surgery | R. W. Roubal, D.d.s., P.C. | 11919 Grant St, 110 140, Omaha, NE 68164-3475 |
| Jeffrey C Popp | Plastic and Reconstructive Surgery | 11919 Grant St, Suite 100, Omaha, NE 68164-3475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George L Pratt | Emergency Medicine | Premier Urgent Care/family Care of Nebraska LLC | 4004 N 132nd St, 101 Afc Urgent Care, Omaha, NE 68164-1803 |
| Arthur A Weaver | General Practice | Premier Urgent Care/family Care of Nebraska LLC | 4004 N 132nd St, 101 Afc Urgent Care, Omaha, NE 68164-1803 |
| Alexandra F Suslow Geditz | Internal Medicine | Premier Urgent Care/family Care of Nebraska LLC | 4004 N 132nd St, 101 Afc Urgent Care, Omaha, NE 68164-1803 |
| John Winters | Family Medicine | Premier Urgent Care/family Care of Nebraska LLC | 4004 N 132nd St, 101 Afc Urgent Care, Omaha, NE 68164-1803 |
| Robert E Byrnes | Internal Medicine | Premier Urgent Care/family Care of Nebraska LLC | 4004 N 132nd St, 101 Afc Urgent Care, Omaha, NE 68164-1803 |
| Larry L Hald | Anesthesiology | Premier Urgent Care/family Care of Nebraska LLC | 4004 N 132nd St, Omaha, NE 68164-1838 |
| John A Otto | Emergency Medicine | Premier Urgent Care/family Care of Nebraska LLC | 4004 N 132nd St, Omaha, NE 68164-1838 |
| Chelsy R Binkley | Nurse Practitioner | Alegent Health Quick Care LLC | 10808 Fort St, Omaha, NE 68164-2076 |
| Angie V Moon | Nurse Practitioner | Alegent Health Quick Care LLC | 10808 Fort St, Omaha, NE 68164-2076 |
| Laura Irene Armitage | Optometry | Clarity Eye Care PC | 11811 Fort St, Suite 105, Omaha, NE 68164-2134 |
| Find all physicians in zip 68164 | |||
| City | OMAHA |
| Zip Code | 68164 |
| Specialty | DENTIST |
| City + Specialty | OMAHA + DENTIST |
Please comment or provide details below to improve the information on Phillip Tracy Brigden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.