Active NPI
Brady W Hanquist, P.A.C.
- Physician Assistant
- Beatrice, NE
National Provider Identifier
1972838688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1470
- Practice address
- 1101 N 10TH St
Beatrice, NE 68310-2001 - Phone
- (402) 228-3436
- Fax
- (402) 223-4515
- NPI assigned
- Oct 14, 2009
- Last updated
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1470 | NE | Primary |
Addresses
Primary practice location
1101 N 10TH St
Beatrice, NE 68310-2001
Mailing address
1101 N 10TH St
Beatrice, NE 68310-2001
Phone (402) 228-3436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
519 Main St
Milligan, NE 68406-3953
Phone (402) 629-4280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1972838688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N 10TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102001",
"telephone_number": "402-228-3436",
"fax_number": "402-223-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N 10TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102001",
"telephone_number": "402-228-3436",
"fax_number": "402-223-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANQUIST",
"first_name": "BRADY",
"middle_name": "W",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-14",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.