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JOHN BRADLEY HACKERT MD NPI 1134103856


NPI Information

NPI: 1134103856
Provider Name: JOHN BRADLEY HACKERT, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
4413 SOPHISTRY DR
RANCHO CORDOVA, CA
ZIP 95742
Phone: (916) 202-4297
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John Bradley Hackert, MD is a surgery in Rancho Cordova, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. John Bradley Hackert, MD NPI is 1134103856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4413 SOPHISTRY DR
RANCHO CORDOVA, CA
ZIP 95742-073
Phone: (916) 202-4297

The enumeration date for this NPI number is 12/6/2005 and was last updated on 1/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryA82374CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I07788MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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