Individual provider Active NPI

Charles Bradley Hirst, PAC

  • Physician Assistant
  • Webster City, IA
National Provider Identifier
1124381538
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2350 Hospital Dr
Webster City, IA 50595-6600
Phone
(515) 832-9400
Fax
(515) 832-9494
NPI assigned
Jun 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01785 KS
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2350 Hospital Dr
Webster City, IA 50595-6600

Mailing address

PO Box 430
Webster City, IA 50595-0430
Phone (515) 832-9400

Other practice location 1

800 Raven Hill Drive
Atchison, KS 66002
Phone (913) 367-2131

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chirs@vdmc.cernerdirect.com
Direct Messaging Address chirs@vdmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, IA, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120822000224 MO Practitioner - Physician Assistant 4082647243 Reassigns benefits to 1 organization
I20150513001167 KS Practitioner - Physician Assistant 4082647243 Reassigns benefits to 2 organizations
I20190802000062 IA Practitioner - Physician Assistant 4082647243 Reassigns benefits to 3 organizations
I20230904000261 TX Practitioner - Physician Assistant 4082647243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

Merit-based Incentive Payment System (MIPS)

Final score
67.8 of 100Reported as group
Quality
85.99
Promoting interoperability
96
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01785KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center CurrentSince May 9, 2020 Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Clarinda Regional Health Center CurrentSince May 9, 2020 Accepting new patients
Cass County Memorial Hospital CurrentSince Mar 30, 2022 Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 16, 2023 Accepting new patients
Little Blue Emergency Physicians LLC Past Accepting new patients
Missouri Em-I Medical Services, P.C. Physician Assistant Past Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

Interoperability endpoints

  • Direct secure messaging: chirst574822@ahs.direct-ci.com

Organizations & group practices 12

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1124381538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505950430",
            "telephone_number": "515-832-9400",
            "fax_number": "515-832-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HOSPITAL DR",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505956600",
            "telephone_number": "515-832-9400",
            "fax_number": "515-832-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Raven Hill Drive",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "66002",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRST",
        "first_name": "CHARLES",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01785",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chirs@vdmc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chirs@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.