Individual provider Active NPI

Russell Nelson Hirst Jr., M.D.

  • Pulmonary Disease Physician
  • Lewiston, UT
National Provider Identifier
1871587774
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
71-1522551205 Issued in UT
Practice address
1565 S 800 E
Lewiston, UT 84320-2023
Phone
(435) 258-2441
Fax
(435) 258-5266
NPI assigned
Sep 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 71-1522551205 UT Primary

Addresses

Primary practice location

1565 S 800 E
Lewiston, UT 84320-2023

Mailing address

1565 S 800 E
Lewiston, UT 84320-2023
Phone (435) 258-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20060104000388 UT Practitioner - Pulmonary Disease 3476576596 Reassigns benefits to 1 organization
Practice locations: Lewiston, UT

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Washington University School of Medicine, 1965
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1565 S 800
Lewiston, UT 84320-2023
Phone (435) 258-2441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71-1522551205UTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 4, 2006 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jan 4, 2006 Accepting new patients

Locations

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871587774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 S 800 E",
            "city": "LEWISTON",
            "state": "UT",
            "postal_code": "843202023",
            "telephone_number": "435-258-2441",
            "fax_number": "435-258-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 S 800 E",
            "city": "LEWISTON",
            "state": "UT",
            "postal_code": "843202023",
            "telephone_number": "435-258-2441",
            "fax_number": "435-258-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRST",
        "first_name": "RUSSELL",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "71-1522551205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, UT

Sources for this page

Verify at the official NPI Registry.