Brad Rodgers MD Family Practice & Sports Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRAD RODGERS MD FAMILY PRACTICE & SPORTS MEDICINE

Practice address

102 3Rd Ave
Kearney, NE 68845-7820

Phone

(308) 237-2273

Fax

(308) 237-4515

NPI assigned

Sep 30, 2016

Last updated

Dec 7, 2023By 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

Annie Novacek

Title

Office Manager

Phone

(308) 237-2273

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Bradley D Rodgers, MD

  • Obstetrics Physician
  • Kearney, NE
  • NPI 1154405926

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Kelly Marie Stevenson, PA-C

  • Physician Assistant
  • Kearney, NE
  • NPI 1154634244
  Medicare reassignment Care Compare group
• Brenda P Deleon, APRN

  • Family Nurse Practitioner
  • Kearney, NE
  • NPI 1205406576

  Family Medicine

  Medicare reassignment NPD
• Natasha Nicole Kelley-Wise, APRN

  • Nurse Practitioner
  • Kearney, NE
  • NPI 1447924758
  Medicare reassignment NPD
• Mackenzie Koch, DNP

  • Women's Health Nurse Practitioner
  • Kearney, NE
  • NPI 1114743291
  Medicare reassignment NPD
• Timothy S Mason, APRN

  • Nurse Practitioner
  • Lexington, NE
  • NPI 1992298962
  Medicare reassignment NPD
• Amy Stump, NP

  • Gerontology Nurse Practitioner
  • Kearney, NE
  • NPI 1093133654
  Medicare reassignment NPD

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1861941999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 3RD AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457820",
            "telephone_number": "308-237-2273",
            "fax_number": "308-237-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 3RD AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457820",
            "telephone_number": "308-237-2273",
            "fax_number": "308-237-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD RODGERS MD FAMILY PRACTICE & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "NOVACEK",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-237-2273"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie L Boston, CSW
• Marcelle Botha, NP-C
• Ashley M Bower
• Elyse E Bower, OD
• Angela Sue Bowers, DSP
• Megan Braden
• Larry E Bragg, MD
• Kilah Bram
• Bobbi Branch
• Aspen Brandich

• Family Medicine Physician in Kearney, NE
• Providers in Kearney, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.