BRADLEY GLEN DOLL PA-C
NPI 1720598972
Physician Assistant in Omaha, NE
NPI Status: Active since October 02, 2017
Contact Information
4920 S 30TH ST STE 103
OMAHA, NE
ZIP 68107
Phone: (402) 734-4110
Fax: (402) 734-3990
- Individual
- Male
- Years of Experience 9
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BRADLEY DOLL
This page provides the complete NPI Profile along with additional information for Bradley Doll, a primary care provider established in Omaha, Nebraska with a medical specialization in Physician Assistant and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1720598972 assigned on October 2017. The practitioner's primary taxonomy code is 363A00000X with license number PAC0942 (ND). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1720598972
- Provider Name
- BRADLEY GLEN DOLL PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4920 S 30TH ST STE 103 OMAHA, NE 68107
- Location Phone
- (402) 734-4110
- Location Fax
- (402) 734-3990
- Mailing Address
- 4920 S 30TH ST STE 103 OMAHA, NE 68107
- Mailing Phone
- (402) 734-4110
- Mailing Fax
- (402) 734-3990
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-02-2017
- Last Update Date
- 05-02-2022
- Code Navigator
A primary care provider (PCP) like Bradley Doll sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PAC0942
- License State
- ND
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 2172 (NE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Bradley Doll is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Bradley Doll is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 547536492
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220510000785, I20220719001813
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.3 for a new patient copayment and $16.5 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 68107 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.2
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $20.3
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 2 | 0 | 5 | 9 | 8 | 9 | 7 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 4 | 0 | 10 | 9 | 16 | 9 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 4 + 0 + 1 + 0 + 9 + 1 + 6 + 9 + 1 + 4 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1720598972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1184832016 | MRS. ADRIANA MARIA BUSTAMANTE-CONWAY MED Individual | Counselor (Mental Health) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1225294598 | DR. KATIE MARIE SAGRERO DO Individual | Family Medicine | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 502-8846 |
1336652874 | REINA C GRIFFITH APRN Individual | Nurse Practitioner (Family) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1801372354 | ONEWORLD COMMUNITY HEALTH CENTERS, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1467931923 | MARTHA LORENA HERRERRA DH Individual | Dental Hygienist | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 932-7204 |
1306320916 | MITZI T INFANTE MAGANA PA-C Individual | Physician Assistant (Medical) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1992365134 | LAURA ACOSTA PLMHP Individual | Counselor (Mental Health) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1497389415 | TANIA ARREGUIN APRN Individual | Nurse Practitioner (Family) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1134657521 | CECILIA MIYARES Individual | Dentist | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 502-8846 |
1992320584 | JESSICA P JOHNSON APRN Individual | Nurse Practitioner | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1558979682 | MAYA A MANJARREZ APRN Individual | Nurse Practitioner (Gerontology) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1730798844 | MARIA CRISTINA RAMIREZ APRN Individual | Nurse Practitioner (Family) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1447887096 | MR. BENJAMIN J MOORE PA-C Individual | Physician Assistant | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1003427246 | ANGELA SALAZAR APRN Individual | Nurse Practitioner (Family) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1538754486 | CAROLINA GEORGE PLMHP Individual | Counselor (Mental Health) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1457982134 | ROSA NAJERA LMHP, CMSW Individual | Counselor (Mental Health) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1245982941 | KEYLA CAROLINA SANCHEZ MEDEROS PA-C Individual | Physician Assistant | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1528711983 | YANELI PARTIDA PA-C Individual | Physician Assistant | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1609537976 | EVA SOLIS NGUYEN PLMHP Individual | Counselor (Mental Health) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
1609514819 | SHAYLEE ANN LAURSEN APRN Individual | Nurse Practitioner (Family) | 4920 S 30TH ST STE 103 OMAHA, NE 68107 (402) 734-4110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720598972, enumerated in the NPI registry as an "individual" on October 02, 2017
The provider is located at 4920 S 30th St Ste 103 Omaha, Ne 68107 and the phone number is (402) 734-4110
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 9 years of experience.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.2 with an average copayment of $20.3 for new patient appointments. Established patients should expect a typical charge of $66 and an average copayment of 16.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 02, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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