Active NPI
Bradley J Vasa, MD
- Family Medicine Physician
- Nebraska City, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32225
- Practice address
- 1301 Grundman Blvd
Suite a
Nebraska City, NE 68410-3320 - Phone
- (402) 873-4242
- Fax
- (402) 873-4227
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 31, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32225 | NE | Primary |
Addresses
Primary practice location
1301 Grundman Blvd
Suite a
Nebraska City, NE 68410-3320
Mailing address
1301 Grundman Blvd
Suite a
Nebraska City, NE 68410-3320
Phone (402) 873-4242
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500279401 | Medicaid | MS | |
| 01-06562 | Other | NE | UHC |
| 6167213 | Medicaid | IA | |
| 00862 | Other | NE | BCBS |
| 10025323000 | Medicaid | NE | |
| 14882 | Other | NE | MIDLAND'S CHOICE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cherry County Hospital
Practice addresses (Care Compare)
1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321
510 N Green St
Valentine, NE 69201-1932
Phone (402) 376-2525
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32225 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry County Hospital | Family Medicine | Current | Accepting new patients |
| Cherry County Hospital | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Family Medicine | Current | Accepting new patients |
| Johnson County Hospital | Current | Accepting new patients | |
| Jennie M Melham Memorial Medical Center Inc | Current | Accepting new patients | |
| Cherry County Hospital | Current | Accepting new patients | |
| St. Mary's Community Hospital | Current | Accepting new patients | |
| Jennie M Melham Memorial Medical Center Inc | Current | Accepting new patients | |
| St. Mary's Community Hospital | Current | Accepting new patients | |
| Beatrice Community Hospital & Health Center Inc | Current | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Lincoln Physician Network LLC | Past | Accepting new patients |
Locations
4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110
1301 Grundman Blvd
Ste A
Nebraska City, NE 68410
Phone (402) 873-3321
1700 14th Ave
Nebraska City, NE 68410
Phone (402) 873-3345
202 High St
Tecumseh, NE 68450
Phone (402) 274-4373
510 N Green St
Valentine, NE 69201
Phone (402) 376-3770
1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BCHHC Professional Services
- Emergency Medicine Physician
- Beatrice, NE
- NPI 1922111855
-
dba Cherry County Clinic
- Rural Health Clinic/Center
- Valentine, NE
- NPI 1033218037
Family Medicine
-
- Critical Access Hospital
- Valentine, NE
- NPI 1144329152
-
- Certified Registered Nurse Anesthetist
- Broken Bow, NE
- NPI 1366659773
-
- Critical Access Hospital
- Broken Bow, NE
- NPI 1538232244
-
- Critical Access Hospital
- Tecumseh, NE
- NPI 1285624825
-
dba CHI Health St. Mary's
- Critical Access Hospital
- Nebraska City, NE
- NPI 1528016995
-
dba Cherry County Hospital Professional Services
- Surgery Physician
- Valentine, NE
- NPI 1518066513
-
dba Nebraska City Medical Clinic
- Rural Health Clinic/Center
- Nebraska City, NE
- NPI 1851737316
-
dba Linc Care / Company Care
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Valentine, NE
- NPI 1144329152
-
- Critical Access Hospital
- Broken Bow, NE
- NPI 1538232244
-
dba CHI Health St. Mary's
- Critical Access Hospital
- Nebraska City, NE
- NPI 1528016995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1356359681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 GRUNDMAN BLVD",
"address_2": "SUITE A",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684103320",
"telephone_number": "402-873-4242",
"fax_number": "402-873-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 GRUNDMAN BLVD",
"address_2": "SUITE A",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684103320",
"telephone_number": "402-873-4242",
"fax_number": "402-873-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASA",
"first_name": "BRADLEY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "32225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500279401",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "01-06562",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6167213",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00862",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025323000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "14882",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nebraska City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.