BRADLEY GLEN DOLL PA-C
NPI 1720598972
Physician Assistant in Omaha, NE

Q: What is Bradley Doll's NPI number?

The NPI number for Bradley Doll is 1720598972. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Q: What is Bradley Doll's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Doll was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2017PECOS Enrolled

4920 S 30TH ST STE 103, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Bradley Glen Doll Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY GLEN DOLL PA-C (NPI 1720598972) is an individual physician assistant in Omaha, Nebraska, licensed in North Dakota (PAC0942) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720598972

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRADLEY GLEN DOLLCredential: PA-C

Location Address4920 S 30TH ST STE 103Omaha, NE 68107-1656

Mailing Address4920 S 30th St Ste 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 734-3990

Phone(402) 734-4110

Fax(402) 734-3990

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 2, 2017

Last NPPES UpdateMay 2, 2022

NPPES CertifiedMay 2, 2022

✔ NPI 1720598972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ND · PAC0942

Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2172 (NE)

4920 S 30TH ST STE 103, Omaha, NE 68107

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Glen Doll Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547536492

PECOS Enrollment IDI20250314001915

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA SALAZAR APRN

Nurse Practitioner (Family)