NPIMap

Organization Active NPI

Bradley C Hirl

  • Physical Therapist
  • Clinton, IA
National Provider Identifier
1295919546
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01856 Issued in IA
Legal business name
BRADLEY C HIRL
Practice address
404 S 1St St
Clinton, IA 52732-4122
Phone
(563) 243-4301
Fax
(563) 243-4302
NPI assigned
Dec 21, 2007
Last updated
Nov 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Bradley C Hirl, PT
Title
Owner
Phone
(563) 243-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01856 IA Primary

Addresses

Primary practice location

404 S 1St St
Clinton, IA 52732-4122

Mailing address

PO Box 361
Clinton, IA 52733-0361
Phone (563) 242-5316

Other identifiers 2

IdentifierTypeStateIssuer
39017OtherIABC/BS
DE2995OtherIARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

404 S 1st St
Clinton, IA 52732
Phone (563) 243-4301

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1295919546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527330361",
            "telephone_number": "563-242-5316",
            "fax_number": "563-242-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S 1ST ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324122",
            "telephone_number": "563-243-4301",
            "fax_number": "563-243-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY C HIRL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "HIRL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-243-4301",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "39017",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE2995",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.