BRODSTONE FAMILY MEDICAL CENTER - DESHLER – Rural Health Clinic/Center, NPI 1922802669

BRODSTONE FAMILY MEDICAL CENTER - DESHLER is a healthcare provider. based in Superior, Nebraska. specializing in Rural Health Clinic/Center. The NPI Number for BRODSTONE FAMILY MEDICAL CENTER - DESHLER is 1922802669

Main info

Organization
Name
BRODSTONE FAMILY MEDICAL CENTER - DESHLER
NPI
1922802669
Phone
(402) 879-3281
Address
PO BOX 187
Authorized Official
TREG VYZOUREK CEO
Enumeration Date
2 April 2025
Last Update Date
11 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for BRODSTONE FAMILY MEDICAL CENTER - DESHLER

  • PO BOX 187

    SUPERIOR, NE 689780187

    Phone: (402) 879-3281

    Fax: (402) 879-3401

    Type: Mailing

  • 5427 HIGHWAY 136

    DESHLER, NE 683409845

    Phone: (402) 207-1132

    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.

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (679 days ago).

Enrollment records

1

Earliest due date

2024-07-31

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
O20040423000949OClinic/Group PracticeNE2024-07-31

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

How do I look up BRODSTONE FAMILY MEDICAL CENTER - DESHLER by NPI?
Use NPI 1922802669 when you need to reference BRODSTONE FAMILY MEDICAL CENTER - DESHLER in forms, claims, or directories.
Does this profile mean BRODSTONE FAMILY MEDICAL CENTER - DESHLER is currently active?
Yes — BRODSTONE FAMILY MEDICAL CENTER - DESHLER appears active in the national provider directory.
What does BRODSTONE FAMILY MEDICAL CENTER - DESHLER treat or focus on?
Patients typically see BRODSTONE FAMILY MEDICAL CENTER - DESHLER under the specialty Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place BRODSTONE FAMILY MEDICAL CENTER - DESHLER?
The snapshot lists Superior, Nebraska for BRODSTONE FAMILY MEDICAL CENTER - DESHLER; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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