Brylie Hartman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

122678 Issued in IA

Practice address

609 SE Kent St
Greenfield, IA 50849-9454

Phone

(641) 743-2123

NPI assigned

Nov 3, 2021

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adair County Memorial HospitalGroup PAC ID 3072403153, shared by 6 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adair County Memorial Hospital Hospital, Greenfield, IA, CCN 161310

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f904b187-16a4-4582-8ea3-887d87de0011/

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.

• Adair County Memorial Hospital

  dba Adair County Memorial Hospital ER Group

  • Emergency Medicine Physician
  • Greenfield, IA
  • NPI 1366531345
  Medicare reassignment NPD
• Adair County Memorial Hospital

  • Critical Access Hospital
  • Greenfield, IA
  • NPI 1780667519
  Medicare reassignment NPD
• Adair County Memorial Hospital

  dba Adair County Home Care

  • Public Health or Welfare Agency
  • Greenfield, IA
  • NPI 1285614818
  NPD

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

• Adair County Memorial Hospital

  • Critical Access Hospital
  • Greenfield, IA
  • NPI 1780667519
  Care Compare affiliation

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1861157901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SE KENT ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499454",
            "telephone_number": "641-743-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SE KENT ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499454",
            "telephone_number": "641-743-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 University Ave W Ste 12",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551043952",
            "country_code": "US",
            "telephone_number": "651-379-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "BRYLIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "122678",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Grimoskas, PT
• GRX Holdings LLC
• Rachel Hall, PHARMD
• Glen D Hanson, MD
• Tinneal Harris, CADC
• Molly Hennigar, ARNP
• Verlin Hubert Hockett, D.D.S.
• Megan Jayne Huey, PA
• Jensen Family Chiropractic DC PC (Jensen Family Chiropractic)
• Timothy John Jensen, D.C.

• Physician Assistant in Greenfield, IA
• Providers in Greenfield, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.