BRODSTONE FAMILY MEDICAL CENTER - NELSON – Rural Health Clinic/Center, NPI 1114999547

BRODSTONE FAMILY MEDICAL CENTER - NELSON is a healthcare provider. based in Nelson, Nebraska. specializing in Rural Health Clinic/Center. The NPI Number for BRODSTONE FAMILY MEDICAL CENTER - NELSON is 1114999547

Main info

Organization
Name
BRODSTONE FAMILY MEDICAL CENTER - NELSON
NPI
1114999547
Phone
(402) 225-2375
Address
76 W 8TH ST
Authorized Official
TREG VYZOUREK CEO
Enumeration Date
1 February 2006
Last Update Date
23 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for BRODSTONE FAMILY MEDICAL CENTER - NELSON

  • 76, West 8th Street, Nelson, Nuckolls County, Nebraska, 68961, United States

    NELSON, NE 689616130

    Phone: (402) 225-2375

    Fax: (402) 225-2375

    Type: Location

  • PO BOX 407

    SUPERIOR, NE 689780407

    Phone: (402) 879-4781

    Fax: (402) 879-3365

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040311001136ORural Health ClinicNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68961)

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Reviews

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Frequently asked questions

Can I use this page to confirm BRODSTONE FAMILY MEDICAL CENTER - NELSON's NPI?
Yes. BRODSTONE FAMILY MEDICAL CENTER - NELSON is listed with NPI 1114999547 in the public NPI dataset.
Does the file indicate BRODSTONE FAMILY MEDICAL CENTER - NELSON is practicing under active NPI?
Directory data currently reports BRODSTONE FAMILY MEDICAL CENTER - NELSON as active.
What taxonomy line describes BRODSTONE FAMILY MEDICAL CENTER - NELSON?
For research purposes, treat BRODSTONE FAMILY MEDICAL CENTER - NELSON as Rural Health Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
What area does BRODSTONE FAMILY MEDICAL CENTER - NELSON serve?
BRODSTONE FAMILY MEDICAL CENTER - NELSON's listing highlights Nelson, Nebraska; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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