| NPI | 1073590626 |
|---|---|
| Doing Business As | BRODSTONE FAMILY MEDICAL CENTER - SUPERIOR |
| Entity Type | Organization |
| Authorized Contact | TREG VYZOUREK CEO 402-879-3281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207T00000X Neurological Surgery | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2025-02-12 |