BRODSTONE HEALTHCARE – Critical Access Hospital, NPI 1306842604

BRODSTONE HEALTHCARE is a healthcare provider. based in Superior, Nebraska. specializing in Critical Access Hospital. The organization holds a License No. 570001 (NE). The NPI Number for BRODSTONE HEALTHCARE is 1306842604

Main info

Organization
Name
BRODSTONE HEALTHCARE
NPI
1306842604
Phone
(402) 879-3281
Address
PO BOX 187
Authorized Official
TREG VYZOUREK CEO
Enumeration Date
22 June 2005
Last Update Date
23 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for BRODSTONE HEALTHCARE

  • Desbals Mont Dore, 187, Rue Henri Desbals, Fontaine Lestang - Bagatelle - Papus - Tabar - Bordelongue, Toulouse Rive Gauche, Toulouse, Haute-Garonne, Occitania, Metropolitan France, 31100, France

    SUPERIOR, NE 689780187

    Phone: (402) 879-3281

    Fax: (402) 879-3401

    Type: Mailing

  • 520, East 10th Street, Superior, Nuckolls County, Nebraska, 68978, United States

    SUPERIOR, NE 689781225

    Phone: (402) 879-3281

    Fax: (402) 879-3401

    Type: Location

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: 2006-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (861 days ago).

Enrollment records

1

Earliest due date

2024-01-31

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
O20061215000097OCritical Access HospitalNE2024-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 68978)

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Reviews

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Frequently asked questions

Is there an official ID for BRODSTONE HEALTHCARE in U.S. healthcare records?
The official identifier for BRODSTONE HEALTHCARE is NPI 1306842604.
Is BRODSTONE HEALTHCARE still an active registrant?
BRODSTONE HEALTHCARE carries an active NPI according to the public dataset.
What expertise is attributed to BRODSTONE HEALTHCARE?
BRODSTONE HEALTHCARE's specialty line reads Critical Access Hospital. Clinical services aligned with this taxonomy classification.
What locale is associated with BRODSTONE HEALTHCARE?
Directory geography for BRODSTONE HEALTHCARE centers on Superior, Nebraska.
When was this NPI issued?
Enumeration for BRODSTONE HEALTHCARE is noted as June 22, 2005 where the registry provides it.

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