Individual provider Active NPI

Broadus Zane Atkins, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kearney, NE
National Provider Identifier
1124022983
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
36228 Issued in NE
Practice address
816 22ND Ave Ste 100
Kearney, NE 68845-2226
Phone
(308) 865-2263
Fax
(308) 865-2541
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD60774388 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 36228 NE Primary

Addresses

Primary practice location

816 22ND Ave Ste 100
Kearney, NE 68845-2226

Mailing address

816 22ND Ave Ste 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, NE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040622001672 NC Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 4284619396 Reassigns benefits to 2 organizations
I20161109000068 TX Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Vascular Surgery 4284619396
I20240510002350 NE Practitioner - Thoracic Surgery 4284619396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Duke University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Hospital Kearney 116 clinicians

Practice addresses (Care Compare)

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)37
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36228NEMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60774388WAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 12, 2021 Accepting new patients
Moses Cone Physician Services, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jun 22, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 12, 2021 Accepting new patients
Bryan Hospital Kearney CurrentSince May 1, 2024 Accepting new patients
Bryan Hospital Kearney CurrentSince May 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Virginia Mason Medical Center Past Accepting new patients
Platte Valley Medical Group, P.C. Past Accepting new patients

Locations

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1124022983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "BROADUS",
        "middle_name": "ZANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD60774388",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NE",
            "license": "36228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.