Individual provider Active NPI

Bridget Marie Shariat, D.O.

  • Family Medicine Physician
  • Carroll, IA
National Provider Identifier
1568787463
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-06577 Issued in IA
Practice address
405 S Clark St Ste 100
Carroll, IA 51401-3047
Phone
(712) 792-2222
Fax
(712) 792-3875
NPI assigned
Apr 2, 2010
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4429 IA
Family Medicine Physician 207Q00000X DO176355 OR
Family Medicine Physician 207Q00000X DO-06577 IA Primary

Addresses

Primary practice location

405 S Clark St Ste 100
Carroll, IA 51401-3047

Mailing address

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmshariat@cynchealthdsm.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000705 IA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7517109994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

405 S Clark St
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4429IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mid-Valley Healthcare, Inc. PastSince Nov 1, 2023 Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

215 Main St
Coon Rapids, IA 50058
Phone (712) 999-2237

1820 4th Ave S
Denison, IA 51442
Phone (712) 263-6116

Interoperability endpoints

  • Direct secure messaging: bmshariat@cynchealthdsm.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1568787463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-3581",
            "fax_number": "712-792-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST STE 100",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013047",
            "telephone_number": "712-792-2222",
            "fax_number": "712-792-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIAT",
        "first_name": "BRIDGET",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4429",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO176355",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-06577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmshariat@cynchealthdsm.org",
            "affiliation": "N",
            "address_1": "405 S Clark St Ste 100",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "514013047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.