NPIMap

Individual provider Active NPI

Bradley Kincaid Hertzler, MD

  • Surgery Physician
  • Scottsbluff, NE
National Provider Identifier
1780003293
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31872 Issued in NE
Practice address
2 W 42ND St Ste 3100
Scottsbluff, NE 69361-4669
Phone
(308) 632-2872
NPI assigned
Apr 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31872 NE Primary

Addresses

Primary practice location

2 W 42ND St Ste 3100
Scottsbluff, NE 69361-4669

Mailing address

2 W 42ND St Ste 3100
Scottsbluff, NE 69361-4669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808000103 NE Practitioner - General Surgery 4284914706 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

2 W 42ND St
Suite 3100
Scottsbluff, NE 69361-0612
Phone (308) 632-2872

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Chadron Hospital Hospital, Chadron, NE, CCN 281341
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue108
Removal of skin lesions17
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31872NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chadron Community Hospital Corp. CurrentSince Feb 1, 2025 Accepting new patients
Regional West Physicians Clinic Surgery CurrentSince Aug 5, 2019 Accepting new patients
Kimball County Hospital CurrentSince Apr 1, 2024 Accepting new patients
Kimball County Hospital CurrentSince Dec 19, 2025 Accepting new patients
Kimball County Hospital CurrentSince Apr 1, 2024 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Box Butte General Hospital Past Accepting new patients
Kimball County Hospital Past Accepting new patients

Locations

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

2 W 42nd St
Ste 3100
Scottsbluff, NE 69361
Phone (308) 632-2872

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional West Medical CenterScottsbluff, NE, CCN 28T061 Hospital Corporate Director Jan 24, 2024
Regional West Medical CenterScottsbluff, NE, CCN 28S061 Hospital Corporate Director Jan 24, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1780003293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST STE 3100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST STE 3100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614669",
            "telephone_number": "308-632-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZLER",
        "first_name": "BRADLEY",
        "middle_name": "KINCAID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-11",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "31872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.