GOTHENBURG MEMORIAL HOSPITAL (NPI# 1912445404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912445404 |
| Entity Type | Organization |
| Organization Name | GOTHENBURG MEMORIAL HOSPITAL |
| Other Organization Name | BRADY CLINIC |
| Practice Address |
114 N Main St Brady NE 69123-2749 |
| Mailing Address |
Po Box 469 Gothenburg NE 69138-0469 |
| Practice Telephone | 3085843770 |
| Mailing Telephone | 3085373661 |
| Mailing Fax Number | 3085373074 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MICHAEL BRANT (CEO) |
| Authorized Official Telephone | 3085373661 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOTHENBURG MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brady Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922051531 | Gothenburg Memorial Hospital | General Acute Care Hospital | 910 20th St, Gothenburg, NE 69138-1253 | 2006-05-18 |
| 1962059766 | Gothenburg Memorial Hospital | Family Medicine | 918 20th St, Gothenburg, NE 69138-1237 | 2019-08-26 |
| 1477953305 | Gothenburg Memorial Hospital | Clinic/Center | 918 20th St, Gothenburg, NE 69138-1237 | 2014-08-28 |
| 1265502538 | Gothenburg Memorial Hospital | Medicare Defined Swing Bed Unit | 910 20th St, Gothenburg, NE 69138-1253 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOTHENBURG MEMORIAL HOSPITAL | 910 20th St, Gothenburg, NE 69138-1237 |
| Street Address |
114 N MAIN ST |
| City | BRADY |
| State | NE |
| Zip Code | 69123-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083992341 | Ann M. Scott | Nurse Practitioner | 114 N Main St, Brady, NE 69123-2749 | 2011-08-03 |
| 1356426209 | Brady Rural Health Clinic PC | Clinic/Center | 114 N Main St, Brady, NE 69123-0157 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710029160 | Dexel Peters | Optometrist | 144 Karlsruhe Strasse, Bldg 3617, Optometry, Heidelberg, BADEN-WURTTEMBERG 69123 | 2007-02-13 |
| 1023193976 | Brady Volunteer Fire Department | Emergency Medical Technician, Basic | 207 E. Commercial St., Brady, NE 69123-0031 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300885 | Mary Lowe | Registered Nurse | 1916 S Cypress St, Brady, TX 76825-7318 | 2020-09-15 |
| 1497364970 | Royal Oaks Assisted Living | Assisted Living Facility | 2000 Nine Rd, Brady, TX 76825 | 2020-07-30 |
| 1902415128 | Victoria R Bailey | Registered Nurse | 1110 W 2nd St, Brady, TX 76825-4717 | 2020-07-23 |
| 1265057764 | Lisa Rachael Griffin | Licensed Practical Nurse | 804 Laurel Dr, Brady, TX 76825-5315 | 2020-06-10 |
| 1417440629 | Chris Aguilar | Licensed Vocational Nurse | 1917 S High St, Brady, TX 76825-7415 | 2018-06-12 |
| 1902395981 | Tonya Cornett Delk | Licensed Practical Nurse | 331 Fm 2996, Brady, TX 76825-7975 | 2018-05-06 |
| 1376031005 | Chelsea Spurgin | Registered Nurse | 913 W 8th St, Brady, TX 76825-5303 | 2018-04-27 |
| 1629575162 | Sueellen Hernandez | Licensed Vocational Nurse | 803 E 11th St, Brady, TX 76825-5912 | 2018-04-11 |
| 1851891600 | Mary Elizabeth Torrez | Licensed Vocational Nurse | 502 W White St, Brady, TX 76825-3819 | 2018-02-19 |
| 1033648860 | Karla Moerbe | Counselor | 1101 W 12th St, Brady, TX 76825-5312 | 2017-06-06 |
| Find all providers in BRADY | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780133496 | Kevin Hodnett Md Pllc | Family Medicine | 1205 Live Oak St, Brady, TX 76825-5316 | 2016-09-23 |
| 1780677179 | Frederick Carl Mcdonough | Family Medicine | 2010 Nine Rd, Brady, TX 76825-7210 | 2005-08-31 |
| 1982169264 | Elizabeth Kathleen Graustein | Family Medicine | 2205 S Bridge St Ste 300, Brady, TX 76825-7552 | 2019-01-31 |
| 1164802427 | Ai Qin Amanda Chen | Family Medicine | 2010 Nine Rd, Brady, TX 76825-7210 | 2015-06-02 |
| 1770922627 | Kevin Daniel Hodnett | Family Medicine | 2010 Nine Rd, Brady, TX 76825-7210 | 2013-06-24 |
| 1538426184 | Stephen Douglas Bell | Family Medicine | 2010 Nine Rd, Brady, TX 76825 | 2012-04-20 |
| 1518003425 | Brady Medical Clinic, P.a. | Family Medicine | 2010 Nine Rd, Brady, TX 76825-7210 | 2007-01-29 |
| 1356327704 | Lonnie Lee Vickers | Family Medicine | 2010 Nine Rd, Brady, TX 76825-7210 | 2005-12-19 |
| 1891770749 | Mark L Hedlund | Family Medicine | 2008 Nine Rd, Brady, TX 76825-7210 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1891313706 | Me Urgent Care Nebraska, Inc | Family Medicine | 28800 Ida Cir, Valley, NE 68064-8017 | 2020-07-07 |
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.