Basic Information
| Provider Information | |||||||||
| NPI: | 1992110712 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MEYER | ||||||||
| FirstName: | BRIA | ||||||||
| MiddleName: | RENEE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3755 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681030755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023542100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 717 N 190TH PLZ STE 2200 | ||||||||
| Address2: | |||||||||
| City: | ELKHORN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 680223984 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4028152300 | ||||||||
| FaxNumber: | 4028151045 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2014 | ||||||||
| LastUpdateDate: | 08/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 7282 | NE | N | Allopathic & Osteopathic Physicians | Surgery | 208200000X | 31989 | NE | Y | Allopathic & Osteopathic Physicians | Plastic Surgery |
No ID Information.