Brian R Hirsch, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

72635-20 Issued in WI

Practice address

4855 S Moorland Rd Ste 150
New Berlin, WI 53151-7495

Phone

(414) 425-5660

Fax

(414) 425-9803

NPI assigned

Sep 9, 2005

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhirsch76834@direct.chw.org

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

• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Pediatrics

  NPD
• Children's Medical Group

  dba Glendale Pediatrics

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)
• Children's Medical Group

  dba MBH Telehealth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1205068616
  NPD (past)
• Children's Medical Group

  dba Forest View Pediatrics

  • Pediatrics Physician
  • New Berlin, WI
  • NPI 1427223767
  NPD (past)
• Children's Medical Group

  dba Westbrook Pediatrics

  • Pediatrics Physician
  • Brookfield, WI
  • NPI 1588839724
  NPD (past)
• Lurie Childrens Primary Care LLC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1134590995
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1417941097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE # MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND RD STE 150",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517495",
            "telephone_number": "414-425-5660",
            "fax_number": "414-425-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "72635-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417941097",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy S Heyer, RN
• Carlynn Neyhart Higbie, OT
• Janet Marie Higgins
• Julia Hilbrands, MS, MPH, RD. CD
• Madeline Mary Hill, DPT
• HJD Chiropractic, Inc. (Thrive Chiropractic)
• Jessie Maria Hoffman, COTA
• Lisa M Hollman, PT
• Jill A Holz, DO
• Benjamin J Holzman, MPT,LAT

• Pediatrics Physician in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.