Brady Rural Health Clinic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

12802 Issued in NE

Legal business name

BRADY RURAL HEALTH CLINIC PC

Practice address

114 N Main St
Brady, NE 69123-0157

Phone

(308) 584-3770

Fax

(308) 584-3772

NPI assigned

Oct 26, 2006

Last updated

Apr 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia M Cotton, MLT

Title

Office Manager

Phone

(308) 584-3770

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Britney Ranee Wever, PA-C

  • Physician Assistant
  • Gothenburg, NE
  • NPI 1720380553
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1356426209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BRADY",
            "state": "NE",
            "postal_code": "691230157",
            "telephone_number": "308-584-3770",
            "fax_number": "308-584-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "BRADY",
            "state": "NE",
            "postal_code": "691230157",
            "telephone_number": "308-584-3770",
            "fax_number": "308-584-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY RURAL HEALTH CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-584-3770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MLT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "12802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025533400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady Public Schools
• Brady Volunteer Fire Department
• Sara Marie Gentry, LCSW
• Gothenburg Memorial Hospital (Brady Clinic)
• Graceful Warrior Counseling and Consulting LLC
• Jodi Nelan LCSW Lac

• Clinic/Center in Brady, NE
• Providers in Brady, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.