Organization · Type 2 NPI

Brodstone Memorial Hospital

Rural Health Clinic/Center · Nelson, NE

NPI number 1114999547 Active

Practice location

76 W 8th St
Nelson, NE 68961-6130

Call (402) 225-2375 Map

Fax (402) 225-2375

Mailing address

PO Box 407
Superior, NE 68978-0407

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1114999547
Entity type: Organization (Type 2)
Issued: Feb 1, 2006
Last updated: Sep 8, 2026
Status: Active
Subpart: Yes of Brodstone Memorial Hospital

Other names

<unavail>
Brodstone Family Medical Center - Nelson · doing business as
Nelson Family Medical Center · doing business as

Authorized official

Treg Vyzourek
CEO
(402) 879-3281

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114999547

Brodstone Memorial Hospital's National Provider Identifier is 1114999547, issued on Feb 1, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Nelson, NE. The record was last updated on Sep 8, 2026.