Individual provider Active NPI

Brent Earl Hirschi, DC

  • Chiropractor
  • Coeur d'Alene, ID
National Provider Identifier
1588990055
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1509 Issued in ID
Practice address
610 N. Hubbard Street
Suite #114
Coeur D'Alene, ID 83814
Phone
(208) 660-2480
NPI assigned
Oct 19, 2009
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8079 AZ
Chiropractor 111N00000X CHIA-1509 ID Primary

Addresses

Primary practice location

610 N. Hubbard Street
Suite #114
Coeur D'Alene, ID 83814

Mailing address

610 N. Hubbard Street
Suite #114
Coeur D'Alene, ID 83814
Phone (208) 660-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402000569 ID Practitioner - Chiropractic 4284774415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 E Wallace Ave
Coeur D Alene, ID 83814-2948
Phone (208) 660-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1509IDMDChiropractor
8079AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Muscle Works, PLLC Chiropractor CurrentSince Dec 16, 2018 Accepting new patients

Locations

110 E Wallace Ave
Coeur D Alene, ID 83814
Phone (208) 660-2480

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1588990055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N. HUBBARD STREET",
            "address_2": "SUITE #114",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-660-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N. HUBBARD STREET",
            "address_2": "SUITE #114",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-660-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHI",
        "first_name": "BRENT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8079",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.