NPIMap

Individual provider Active NPI

Charles Brindle, MD

  • Family Medicine Physician
  • Belmond, IA
National Provider Identifier
1104860592
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23027 Issued in IA
Practice address
403 First Street SE
Belmond, IA 50421-1201
Phone
(641) 444-3223
Fax
(641) 444-4896
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23027 IA Primary

Addresses

Primary practice location

403 First Street SE
Belmond, IA 50421-1201

Mailing address

403 First Street SE
Belmond, IA 50421-1201
Phone (641) 444-3223

Other identifiers 12

IdentifierTypeStateIssuer
66046OtherIABCBS SNF
0424507MedicaidIA
33444OtherIAFPC BCBS NRH
60046OtherIABCBS REG
0600460MedicaidIA
0635011MedicaidIA
29352OtherIABCBS ER
0293522MedicaidIA
3214114MedicaidIA
0283465MedicaidIA
0655001MedicaidIA
36174OtherIABCBS DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23027IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1104860592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 FIRST STREET SE",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211201",
            "telephone_number": "641-444-3223",
            "fax_number": "641-444-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 FIRST STREET SE",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211201",
            "telephone_number": "641-444-3223",
            "fax_number": "641-444-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDLE",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "23027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SNF",
            "identifier": "66046",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424507",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPC BCBS NRH",
            "identifier": "33444",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REG",
            "identifier": "60046",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600460",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635011",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ER",
            "identifier": "29352",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293522",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3214114",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283465",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "36174",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmond, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.