Active NPI
Nebraska Neurosurgery & Spine Clinic P C
- Neurological Surgery Physician
- Kearney, NE
National Provider Identifier
1215979802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEBRASKA NEUROSURGERY & SPINE CLINIC P C
- Practice address
- 3219 Central Ave
Suite 103
Kearney, NE 68847-2949 - Phone
- (308) 234-9822
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adeleke E Badejo, M.D., FACS
- Title
- Director
- Phone
- (308) 234-9822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
3219 Central Ave
Suite 103
Kearney, NE 68847-2949
Mailing address
3219 Central Ave
Suite 103
Kearney, NE 68847-2949
Phone (308) 234-9822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140007700 | Other | NE | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
3219 Central Ave
Ste 103
Kearney, NE 68847
Phone (308) 234-9822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503532800000",
"number": "1215979802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 CENTRAL AVE",
"address_2": "SUITE 103",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472949",
"telephone_number": "308-234-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CENTRAL AVE",
"address_2": "SUITE 103",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472949",
"telephone_number": "308-234-9822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEBRASKA NEUROSURGERY & SPINE CLINIC P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2017-08-24",
"status": "A",
"authorized_official_last_name": "BADEJO",
"authorized_official_first_name": "ADELEKE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "308-234-9822",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., FACS"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "140007700",
"state": "NE"
}
],
"endpoints": [],
"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 Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.