Southeast Nebraska Radiology Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTHEAST NEBRASKA RADIOLOGY INC

Practice address

1110 N 10TH St
Beatrice, NE 68310-2039

Phone

(402) 223-7342

Fax

(402) 223-2211

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

James F Van Brocklin, MD

Title

Owner

Phone

(402) 223-7342

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457426967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102039",
            "telephone_number": "402-223-7342",
            "fax_number": "402-223-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102039",
            "telephone_number": "402-223-7342",
            "fax_number": "402-223-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST NEBRASKA RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN BROCKLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-223-7342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyelle Lee Snow
• Melissa Snyder
• Melissa Snyder
• Kailen A Soncksen
• Stephanie Mae Sorensen, P.T.
• Southeast Nebraska Senior Care LLC
• Southeast Nebraska Surgery P.C.
• Southwick Chiropractic, PC
• Michael Dee Southwick, DC
• Shirrese Specht

• Diagnostic Radiology Physician in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.