Pine Lake Intensity-Modulated
Pine Lake Intensity-Modulated is a healthcare organization registered as Radiation Oncology Clinic/Center in Lincoln, NE, holding Type 2 (organization) NPI 1174674691 since 2007. The authorized official on file is Bennett Barrios, Managing Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174674691 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pine Lake Intensity-Modulated |
| Other name | <Unavail> |
| Practice address | 3901 PINE LAKE RD, SUITE 111, Lincoln, NE, 68516 |
| Phone | 4024816090 |
| Enumeration date | 2007-01-12 |
| Last updated in NPPES | 2009-12-11 |
Authorized official
| Name | Bennett Barrios |
|---|---|
| Title | Managing Member |
| Phone | 4023277300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QX0203X | Radiation Oncology Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Pine Lake Intensity-Modulated NPI: 1174674691 Taxonomy: 261QX0203X (Radiation Oncology Clinic/Center) Address: 3901 PINE LAKE RD, SUITE 111, Lincoln, NE, 68516
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386614907 | Alan Jacobs | Individual | Rheumatology Physician | Lincoln, NE |
| 1710957311 | Melvin Churchill | Individual | Rheumatology Physician | Lincoln, NE |
| 1164492641 | Arthritis Center of Nebraska | Organization | Rheumatology Physician | Lincoln, NE |
| 1841260478 | Rick Chatwell | Individual | Rheumatology Physician | Lincoln, NE |
| 1437129905 | Robert Valente | Individual | Rheumatology Physician | Lincoln, NE |
| 1275587487 | Donald Breit | Individual | Diagnostic Radiology Physician | Lincoln, NE |
| 1275587602 | Lincoln Radiology Group PC | Organization | Diagnostic Radiology Physician | Lincoln, NE |
| 1043258221 | Eric Williams | Individual | Diagnostic Radiology Physician | Lincoln, NE |
Verify this record
Cross-check NPI 1174674691 against the authoritative CMS record: view Pine Lake Intensity-Modulated on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Pine Lake Intensity-Modulated?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-12-11.