TYLER K. HAGAN DPM PLLC NPI 1720489818

NPI Information

  • NPI: 1720489818
  • Provider Name: TYLER K. HAGAN, DPM, PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 612A MCCARTHY BLVD
    NEW BERN, NC
    ZIP 28562
  • Phone: (252) 633-3400

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NPI Details

TYLER K. HAGAN, DPM, PLLC is a foot and ankle surgery podiatrist in New Bern, NC. TYLER K. HAGAN, DPM, PLLC NPI is 1720489818. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612A MCCARTHY BLVD
NEW BERN, NC
ZIP 28562-231
Phone: (252) 633-3400
Fax: (252) 633-9338

The provider's authorized official is Tyler K Hagan .
The authorized official title is Sole Member and has the following contact phone number (252) 633-3400.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 12/4/2014.

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
1213E00000XPodiatrist617NORTH CAROLINANo
2213ES0131XPodiatristFoot Surgery617NORTH CAROLINANo
3213ES0103XPodiatristFoot & Ankle Surgery617NORTH CAROLINAYes

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
17238750001MEDICARE NSCNORTH CAROLINA
21588955231OTHERNORTH CAROLINAINDIVIDUAL NPI

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: 11/21/2025

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