NPI 1073814141

Samuel Braden, MD

Practitioner Diagnostic Radiology Physician Lincoln, NE

Practice location

Address: 3901 Pine Lake Rd STE 214, Lincoln, NE 68516-5427
Phone: (024) 816-0004
Fax: (402) 423-4100
Mailing address: PO Box 7239, Loveland, CO 80537-0239

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 10117289-1205 (UT)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1234567 (UT)

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Registry record

NPI: 1073814141
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2010
Record last updated: 15 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.