# BRAD RODGERS MD FAMILY PRACTICE & SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861941999
- **Authorized official:** ANNIE NOVACEK (OFFICE MANAGER)
- **Authorized official phone:** (308) 237-2273

## Contact information

- **Practice address:** 102 3RD AVE, KEARNEY, NE 68845-7820
- **Practice address phone:** (308) 237-2273
- **Practice address fax:** (308) 237-4515
- **Mailing address:** 102 3RD AVE, KEARNEY, NE 68845-7820
- **Mailing address phone:** (308) 237-2273
- **Mailing address fax:** (308) 237-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 12/07/2023