Provider Demographics
NPI:1346267176
Name:VARILEK, BRADETTE Z (MD)
Entity Type:Individual
Prefix:
First Name:BRADETTE
Middle Name:Z
Last Name:VARILEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRADETTE
Other - Middle Name:Z
Other - Last Name:HEMMERLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:555 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2462
Practice Address - Country:US
Practice Address - Phone:402-219-8747
Practice Address - Fax:402-219-8748
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE23613207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04-02381OtherUHC
NE470780857 53Medicaid
NE01524OtherBCBS
NE250318OtherMIDLAND'S CHOICE
IA0716936Medicaid
KS2003753510AMedicaid
NE250318OtherMIDLAND'S CHOICE
280404Medicare PIN