Provider Demographics
NPI:1174365563
Name:BERNADT, GALEN D (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:GALEN
Middle Name:D
Last Name:BERNADT
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7411 DOTSON RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2521
Mailing Address - Country:US
Mailing Address - Phone:402-310-0854
Mailing Address - Fax:
Practice Address - Street 1:62008 716 RD
Practice Address - Street 2:
Practice Address - City:STEINAUER
Practice Address - State:NE
Practice Address - Zip Code:68441-2521
Practice Address - Country:US
Practice Address - Phone:402-310-0854
Practice Address - Fax:402-520-6610
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE62325163W00000X
NE115505363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse