Healthcare Provider Details

I. General information

NPI: 1427089838
Provider Name (Legal Business Name): GREAT PLAINS RADIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E 31ST ST
KEARNEY NE
68847-2918
US

IV. Provider business mailing address

PO BOX 2435
KEARNEY NE
68848-2435
US

V. Phone/Fax

Practice location:
  • Phone: 308-398-6400
  • Fax: 308-398-6408
Mailing address:
  • Phone: 308-398-6400
  • Fax: 308-398-6408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHAN W MURDOCH
Title or Position: OWNER
Credential: MD
Phone: 308-398-6400