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BRODSTONE MEMORIAL HOSPITAL
NPI 1073590626
Clinic/Center - Rural Health in Superior, NE

Active since December 26, 2005CLIA 28D0679416 · Accreditation
525 E 11TH ST, SUPERIOR, NE 68978(402) 879-4781(402) 879-3365 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Jan 11, 2018 (2 updates tracked since 2018).

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

NPI1073590626
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBRODSTONE MEMORIAL HOSPITAL
Location Address525 E 11TH STSuperior, NE 68978-1101
Mailing AddressPo Box 407Superior, NE 68978-0407 · (402) 879-4781 · Fax (402) 879-3365
Phone(402) 879-4781
Fax(402) 879-3365
Organization SubpartYes
Authorized OfficialTreg VyzourekCeo · (402) 879-3281
Enumeration DateDecember 26, 2005
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1073590626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
525 E 11TH ST, Superior, NE 68978
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Other Names 1

Doing Business AsBrodstone Family Medical Center - Superior

Other Identifiers 1

Medicaid10025177900NE

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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, NE
Active · expires May 17, 2028
CLIA Number28D0679416
Laboratory TypeHospital
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorDr. Darrell R. Lester
Laboratory Phone(402) 879-3281
Laboratory LocationBrodstone Memorial Hospital520 East 10th Street, Superior, NE 68978
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW GATLIN PA-C
Physician Assistant
525 E 11TH ST
SUPERIOR, NE 68978
Nuckolls County (402) 879-4781
JULIE A THEIS M.D.
Family Medicine
525 E 11TH ST
SUPERIOR, NE 68978
Nuckolls County (402) 879-4781
TERESA B FRAHM NP
Nurse Practitioner
525 E 11TH ST
SUPERIOR, NE 68978
Nuckolls County (402) 879-4781
ALISHA FANGMEYER APRN
Nurse Practitioner (Family)
525 E 11TH ST
SUPERIOR, NE 68978
Nuckolls County (402) 879-4781
ROBERT G LEIBEL M.D.
Family Medicine
525 E 11TH ST
SUPERIOR, NE 68978
Nuckolls County (402) 879-4781
MR. TIMOTHY BLECHA MD
Family Medicine
525 E 11TH ST
SUPERIOR, NE 68978
Nuckolls County (402) 879-4781
JASON G HASS P.A.
Physician Assistant
525 E 11TH ST
SUPERIOR, NE 68978
Nuckolls County (402) 879-4781

Frequently 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.

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 Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers 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 18 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.