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DR. BRETT ALAN HAGEDORN MD NPI 1275504458


NPI Information

NPI: 1275504458
Provider Name: DR. BRETT ALAN HAGEDORN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818
Phone: (260) 432-1568
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DR. Brett Alan Hagedorn, MD is a diagnostic radiology radiology in Fort Wayne, IN with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Brett Alan Hagedorn, MD NPI is 1275504458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-1568
Fax: (260) 432-4969

The NPI 1275504458 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Mammography of both breasts (HCPCS:77067)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan chest (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of face (HCPCS:70486)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/17/2016.


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
12085R0202XRadiologyDiagnostic Radiology01048463INDIANAYes

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
1200179850MEDICAIDINDIANA
2981270CCMEDICARE PININDIANA
3300085594MEDICARE PININDIANA
4H191940MEDICARE PINOHIO
52068604MEDICAIDOHIO
6136270ZMEDICARE PININDIANA
71275504458MEDICAIDMICHIGAN
8MI1209030MEDICARE PINMICHIGAN
9P00842993MEDICARE PIN
10G48686MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.