NPIMap

Organization Active NPI

Gothenburg Memorial Hospital

Doing business as Brady Clinic

  • Family Medicine Physician
  • Brady, NE
National Provider Identifier
1912445404
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOTHENBURG MEMORIAL HOSPITAL
Doing business as
Brady Clinic
Practice address
114 N Main St
Brady, NE 69123-2749
Phone
(308) 584-3770
NPI assigned
Feb 6, 2017
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOTHENBURG MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Andrew D Knust
Title
Ceo
Phone
(308) 537-3661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

114 N Main St
Brady, NE 69123-2749

Mailing address

PO Box 469
Gothenburg, NE 69138-0469
Phone (308) 537-3661

Other names 1

  • Brady Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330001110 NE Part B Supplier - Clinic/Group Practice 6709832983 Receives reassigned benefits from 21 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gothenburg, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Gothenburg Memorial Hospital

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1912445404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691380469",
            "telephone_number": "308-537-3661",
            "fax_number": "308-537-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "BRADY",
            "state": "NE",
            "postal_code": "691232749",
            "telephone_number": "308-584-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHENBURG MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOTHENBURG MEMORIAL HOSPITAL",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "KNUST",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-537-3661"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brady Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brady, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.