DR. BRIAN PATRICK HAGERTY MD NPI 1134201189

NPI Information

NPI: 1134201189
Provider Name: DR. BRIAN PATRICK HAGERTY, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
5301 E GRANT ROAD
TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ
ZIP 85712
Phone: (520) 324-1922
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DR. Brian Patrick Hagerty, MD is a pediatric emergency medicine pediatrics in Tucson, AZ. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Brian Patrick Hagerty, MD NPI is 1134201189. 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:

5301 E GRANT ROAD
TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ
ZIP 85712-805
Phone: (520) 324-1922
Fax: (520) 324-1088

The NPI 1134201189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	15402	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	288200	OTHER	ARIZONA	AHCCCS
2	C99594	MEDICARE UPIN
3	288200-07	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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