Organization Active NPI

Nebraska Neurosurgery & Spine Clinic P C

  • Neurological Surgery Physician
  • Kearney, NE
National Provider Identifier
1215979802
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Aug 24, 2017

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
140007700OtherNERAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.