NPIMap

Organization Active NPI

Bryan Hospital Kearney

Doing business as Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
National Provider Identifier
1407513484
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BRYAN HOSPITAL KEARNEY
Doing business as
Kearney Regional Medical Center
Practice address
804 22ND Ave
Kearney, NE 68845-2206
Phone
(308) 455-3600
Fax
(308) 455-3950
NPI assigned
Nov 24, 2021
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Scott Smith, MDNPI 1205819158
Title
Interim Chief Executive Officer
Phone
(308) 455-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

804 22ND Ave
Kearney, NE 68845-2206

Mailing address

804 22ND Ave
Kearney, NE 68845-2206
Phone (308) 455-3600

Other names 1

  • KEARNEY REGIONAL MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211223000221 NE Part A Provider - Hospital 5991195547 Practice locations: Kearney, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407513484. Details of each certification follow.

Hospital certification: CCN 280134

Legal name
BRYAN HOSPITAL KEARNEY
Doing business as
KEARNEY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 8, 2014
Last certification
May 8, 2014
Beds
44
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2022 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 28, 2021 in NE
Enrollment address
804 22ND Ave
Kearney, NE 68845-2206
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Bryan Hospital Kearney

    dba Kearney Regional Medical Center Platte Valley Medical Clinic

    • Family Medicine Physician
    • Kearney, NE
    • NPI 1033875380

    5991195547

    Same PAC ID

Care Compare: Hospital

Medicare Care Compare
Listed as
Kearney Regional Medical CenterCCN 280134 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111

3712 28th Ave
#C
Kearney, NE 68845
Phone (308) 865-2737

816 22nd Ave
Ste 102
Kearney, NE 68845
Phone (308) 865-2263

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brenda L Benjamin Individual Corporate Director Jun 1, 2022
Thomas McLeod Individual W-2 Managing EmployeeAdministrator of Clinic & Provider Jan 1, 2022
Operational/Managerial ControlAdministrator of Clinic & Provider Jan 1, 2022
Shealee Clausen Individual W-2 Managing EmployeeChief Nursing Officer Jan 28, 2024
Operational/Managerial ControlChief Nursing Officer Jan 28, 2024
Joseph J Cochran Individual Corporate Officer Jan 1, 2023
Corporate Director Jun 1, 2022
Daniel R Vanranken Individual W-2 Managing EmployeeChief Operating Officer Feb 13, 2023
Operational/Managerial ControlChief Operating Officer Feb 13, 2023
Sean D Denney Individual Corporate Director Jun 1, 2022
Douglas E Koch Individual Corporate OfficerChief Executive Officer Aug 5, 2024
W-2 Managing EmployeeChief Executive Officer Aug 5, 2024
Operational/Managerial ControlChief Executive Officer Aug 5, 2024
Bryan Health Organization, Lincoln, NE Corporation, Non-profit, Chain home office Operational/Managerial Control Oct 28, 2021
Jeffrey L Hinrichs Individual Corporate Officer Jan 1, 2023
Corporate Director Jun 1, 2022
David Alvarado Benavides Individual Corporate Officer Jan 1, 2023
Corporate Director Jun 1, 2022
Karianne Nickman Individual Corporate Officer Jun 1, 2022
Jason D Walsh Individual Corporate Director Jan 1, 2025
John T Woodrich Individual Corporate Director Jun 1, 2022
Scott Smith Individual Corporate Officer Jan 1, 2023
Corporate Director Jun 1, 2022
Michael W Morgan Individual Corporate Director Jun 1, 2022
Derick C Lorentz Individual W-2 Managing EmployeeChief Financial Officer Oct 6, 2024
Operational/Managerial ControlChief Financial Officer Apr 7, 2024
Merlin J Wehling Individual Corporate Director Jun 1, 2022
Russell R Gronewold Individual Corporate Director Oct 28, 2021

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 182

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.

View all 182

Affiliated clinicians 230

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 230

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1407513484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 22ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-455-3600",
            "fax_number": "308-455-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 22ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-455-3600",
            "fax_number": "308-455-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN HOSPITAL KEARNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "308-455-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEARNEY REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KEARNEY REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.