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NEBRASKA NEUROSURGERY & SPINE CLINIC P C NPI 1215979802


NPI Information

NPI: 1215979802
Provider Name: NEBRASKA NEUROSURGERY & SPINE CLINIC P C
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 28D2172773

Address:
3219 CENTRAL AVE
SUITE 103
KEARNEY, NE
ZIP 68847
Phone: (308) 234-9822
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NEBRASKA NEUROSURGERY & SPINE CLINIC P C is a neurological surgery in Kearney, NE. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. NEBRASKA NEUROSURGERY & SPINE CLINIC P C NPI is 1215979802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3219 CENTRAL AVE
SUITE 103
KEARNEY, NE
ZIP 68847-949
Phone: (308) 234-9822

The provider's authorized official is Adeleke E Badejo .
The authorized official title is Director and has the following contact phone number (308) 234-9822.

The CLIA number assigned to this NPI record is 28D2172773 - other - community based organizat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F53479MEDICARE UPIN
2099117MEDICARE PINNEBRASKA
3140007700OTHERNEBRASKARAILROAD MEDICARE
4=========00MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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