NPIMap

Individual provider Active NPI

Brady James O'Hare, M.D.

  • Surgery Physician
  • Kearney, NE
National Provider Identifier
1922169663
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23481 Issued in OK
Practice address
211 W 33Rd St
Kearney, NE 68845-3484
Phone
(308) 865-2141
Fax
(308) 865-2151
NPI assigned
Dec 13, 2006
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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 23481 OK Primary

Addresses

Primary practice location

211 W 33Rd St
Kearney, NE 68845-3484

Mailing address

211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141

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
I20080804000422 NE Practitioner - General Surgery 4587600291 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nebraska College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phelps Memorial Health CenterGroup PAC ID 9931011947, shared by 4 NPIs, 35 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211

211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair (minimally invasive)1-10
Mastectomy18
Upper gastrointestinal (GI) endoscopy for acid reflux12
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Jul 1, 2018 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Phelps Memorial Health Center CurrentSince Jul 17, 2018 Accepting new patients
Phelps Memorial Health Center CurrentSince Jul 17, 2018 Accepting new patients
Gothenburg Memorial Hospital CurrentSince Apr 1, 2018 Accepting new patients
Gothenburg Memorial Hospital CurrentSince Apr 1, 2018 Accepting new patients
Oklahoma Oncology & Hematology PC Past Accepting new patients
Oklahoma Oncology and Hematology, P.C. Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

910 20th St
Gothenburg, NE 69138
Phone (308) 537-3661

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

211 W 33rd St
Kearney, NE 68845
Phone (308) 236-5884

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1922169663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453484",
            "telephone_number": "308-865-2141",
            "fax_number": "308-865-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453484",
            "telephone_number": "308-865-2141",
            "fax_number": "308-865-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "BRADY",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "23481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.