Nebraska Neurosurgery & Spine Clinic P C

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

19006 Issued in NE

Legal business name

NEBRASKA NEUROSURGERY & SPINE CLINIC P C

Practice address

3219 Central Ave
Suite 103
Kearney, NE 68847-2949

Phone

(308) 234-9822

Fax

(308) 234-9824

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Adeleke E Badejo, M.D., FACS

Title

Neurosurgeon / Owner

Phone

(308) 234-9822

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1972793925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472949",
            "telephone_number": "308-234-9822",
            "fax_number": "308-234-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472949",
            "telephone_number": "308-234-9822",
            "fax_number": "308-234-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA NEUROSURGERY & SPINE CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "BADEJO",
        "authorized_official_first_name": "ADELEKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NEUROSURGEON / OWNER",
        "authorized_official_telephone_number": "308-234-9822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACS"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NE",
            "license": "19006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "102023",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143550B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143550C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlee Jean Nebesniak
• Nebraska Brace & Limb Co
• Nebraska CVS Pharmacy LLC
• Nebraska Medical Center
• Nebraska Neurosurgery & Spine Clinic P C
• Nebraska Wellness Counseling & Recovery, LLC
• Trenton Thomas Neill, DPT
• Olivia May Nekl, OTR/L
• Jillian Mae Nelsen, APRN
• Christina Rae Nelson, MAT, LAT, ATC

• Neurological Surgery Physician in Kearney, NE
• Providers in Kearney, NE by specialty
• Neurological Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.