Organization Active NPI

U Med Spa & Weight Management

  • Health Service Clinic/Center
  • Kearney, NE
National Provider Identifier
1467858415
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
16658 Issued in NE
Legal business name
U MED SPA & WEIGHT MANAGEMENT
Practice address
5609 1St Ave
Suite B
Kearney, NE 68847-2436
Phone
(308) 224-2131
Fax
(308) 224-2134
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Bradley Daryl Rodgers, M.D.
Title
Owner/Medical Director
Phone
(308) 224-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 16658 NE Primary

Addresses

Primary practice location

5609 1St Ave
Suite B
Kearney, NE 68847-2436

Mailing address

5609 1St Ave
Suite B
Kearney, NE 68847-2436
Phone (308) 224-2131

Other identifiers 1

IdentifierTypeStateIssuer
1154405926OtherNENPI

National Provider Directory

National Provider Directory

Locations

5609 1st Ave
Apt B
Kearney, NE 68847
Phone (308) 224-2131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1467858415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 1ST AVE",
            "address_2": "SUITE B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472436",
            "telephone_number": "308-224-2131",
            "fax_number": "308-224-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 1ST AVE",
            "address_2": "SUITE B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472436",
            "telephone_number": "308-224-2131",
            "fax_number": "308-224-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U MED SPA & WEIGHT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DARYL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "308-224-2131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NE",
            "license": "16658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154405926",
            "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 Nov 18, 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.