Organization Active NPI

Richard a Hastings MD

Doing business as Bristol Street Family Practice

  • Family Medicine Physician
  • Elkhart, IN
National Provider Identifier
1467510966
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01027071A Issued in IN
Legal business name
RICHARD A HASTINGS MD
Doing business as
Bristol Street Family Practice
Practice address
609 W Bristol St
Elkhart, IN 46514-2900
Phone
(574) 262-2817
Fax
(574) 262-2941
NPI assigned
Dec 5, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Richard Allen Hastings, M.D.NPI 1982678769
Title
Owner
Phone
(574) 262-2817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 01027071A IN Primary

Addresses

Primary practice location

609 W Bristol St
Elkhart, IN 46514-2900

Mailing address

609 W Bristol St
Elkhart, IN 46514-2900
Phone (574) 262-2817

Other identifiers 1

IdentifierTypeStateIssuer
100112380AMedicaidIN

Other names 1

  • Bristol Street Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

609 W Bristol St
Elkhart, IN 46514
Phone (219) 262-2817

Practitioners & affiliated clinicians

Practitioners 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1467510966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142900",
            "telephone_number": "574-262-2817",
            "fax_number": "574-262-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142900",
            "telephone_number": "574-262-2817",
            "fax_number": "574-262-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A HASTINGS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-262-2817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027071A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Street Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.