Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Brodstone Memorial Hospital

Rural Health Clinic/Center in Superior, NE · enumerated 2005 · authorized official Treg Vyzourek, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073590626

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Registry record

Entity type Organization (Type 2)

Legal business name Brodstone Memorial Hospital

Other name <Unavail>

Parent organization Brodstone Memorial Hospital

Practice address 525 E 11th St, Superior, NE, 68978

Phone (402) 879-4781

Fax (402) 879-3365

Enumeration date Dec 26, 2005

Last updated in NPPES Feb 12, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Secondary

2084A2900X Neurocritical Care Physician Allopathic & Osteopathic Physicians Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary

2084V0102X Vascular Neurology Physician Allopathic & Osteopathic Physicians Secondary

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Treg Vyzourek

Title Ceo

Phone (402) 879-3281

Other identifiers

Identifier	Type	State	Issuer
10025177900	Medicaid	NE	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Brodstone Memorial Hospital located?

The practice location on file with NPPES is in Superior, NE.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-02-12. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Timothy Blecha Family Medicine Physician · Superior, NE NPI 1790777936 Robert Leibel Family Medicine Physician · Superior, NE NPI 1578540126 Julie Theis Family Medicine Physician · Superior, NE NPI 1295712842 Jason Hass Physician Assistant · Superior, NE NPI 1831176486 Teresa Frahm Nurse Practitioner · Superior, NE NPI 1477530020 Matthew Gatlin Physician Assistant · Superior, NE NPI 1245552140 Alisha Fangmeyer Family Nurse Practitioner · Superior, NE NPI 1568756609

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-12.