Active NPI
Bernard Gene Keown, MD
- Family Medicine Physician
- Kearney, NE
National Provider Identifier
1104866813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14825
- Practice address
- 2810 W 35TH St
Kearney, NE 68845-2909 - Phone
- (308) 865-2570
- Fax
- (308) 865-2508
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 14825 | NE | |
| Family Medicine Physician | 207Q00000X | 14825 | NE | Primary |
Addresses
Primary practice location
2810 W 35TH St
Kearney, NE 68845-2909
Mailing address
2810 W 35TH St
Kearney, NE 68845-2909
Phone (308) 865-2570
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200084430B | Medicaid | KS | |
| 8729 | Other | NE | MIDLANDS CHOICE |
| 00255 | Other | NE | BCBS OF NEBRASKA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bernardkeown@nwsmos.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14825 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley County Hospital | Family Medicine | Current | Accepting new patients |
| Valley County Hospital | Current | Accepting new patients | |
| Valley County Hospital | Current | Accepting new patients | |
| The Physician Network | Family Medicine | Past | Accepting new patients |
| Good Samaritan Outreach Services | Family Medicine | Past | Accepting new patients |
Locations
207 S 26th St
Ord, NE 68862
Phone (308) 728-3606
2707 L St
Ord, NE 68862
Phone (308) 728-4200
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Ord, NE
- NPI 1609834985
-
- Family Medicine Physician
- Ord, NE
- NPI 1619927654
-
- Rural Health Clinic/Center
- Loup City, NE
- NPI 1427495308
-
- Family Medicine Physician
- Kearney, NE
- NPI 1639100951
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1104866813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 W 35TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452909",
"telephone_number": "308-865-2570",
"fax_number": "308-865-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W 35TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452909",
"telephone_number": "308-865-2570",
"fax_number": "308-865-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOWN",
"first_name": "BERNARD",
"middle_name": "GENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NE",
"license": "14825",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "14825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200084430B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "8729",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEBRASKA",
"identifier": "00255",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bernardkeown@nwsmos.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2810 W 35th St",
"city": "Kearney",
"state": "NE",
"country_code": "US",
"postal_code": "688452909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.