BRODSTONE MEMORIAL HOSPITAL
NPI 1073590626
Clinic/Center - Rural Health in Superior, NE
About Brodstone Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRODSTONE MEMORIAL HOSPITAL (NPI 1073590626), doing business as Brodstone Family Medical Center - Superior, is a healthcare organization registered as a rural health in Superior, Nebraska and active in the NPI registry since December 2005. The organization holds an CLIA Accreditation certificate valid through May 17, 2028 and lists Treg Vyzourek, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brodstone Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Brodstone Memorial Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 28D0679416
Brodstone Memorial Hospital · Superior, NEFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brodstone Memorial Hospital's NPI number?
The NPI number for Brodstone Memorial Hospital is 1073590626. It was assigned to this organization in the NPPES registry on December 26, 2005. The provider is doing business as Brodstone Family Medical Center - Superior.
Where is Brodstone Memorial Hospital located?
Brodstone Memorial Hospital is located at 525 E 11th St, Superior, NE 68978. The listed phone number is (402) 879-4781.
What is Brodstone Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Brodstone Memorial Hospital enrolled in Medicare?
Yes. Brodstone Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brodstone Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 12 Medicare specialties reassign their Medicare billing to Brodstone Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (9), Nurse Practitioner (9) and Internal Medicine (6). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brodstone Memorial Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 28D0679416) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brodstone Memorial Hospital accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and UnitedHealthcare list Brodstone Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brodstone Memorial Hospital was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brodstone Memorial Hospital · NPI 1073590626
Rural Health organization in Superior, Nebraska. Organization record, active in the CMS NPPES registry since December 26, 2005.
## Identity
- **NPI:** 1073590626 (Entity type: Organization)
- **Enumerated:** December 26, 2005
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** BRODSTONE FAMILY MEDICAL CENTER - SUPERIOR (Doing Business As)
- **Organization subpart:** Yes (part of Brodstone Memorial Hospital)
- **Authorized official:** Treg Vyzourek, CEO
## Practice location
- **Address:** 525 E 11TH ST, Superior, NE 68978-1101
- **Phone:** (402) 879-4781 · **Fax:** (402) 879-3365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (9), Nurse Practitioner (9), Internal Medicine (6); 6 practice at this address; [full list](https://npiprofile.com/npi/1073590626/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2025
- **Other identifiers:** Medicaid 10025177900 (NE)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073590626) · Data from the CMS NPPES public registry.