Individual provider Active NPI

Stephen Hagberg, MD

  • Family Medicine Physician
  • Beaver Falls, PA
National Provider Identifier
1033205729
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD437163 Issued in PA
Practice address
1125 7TH Ave
Beaver Falls, PA 15010-4426
Phone
(724) 773-8980
Fax
(724) 770-7945
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD437163 PA Primary

Addresses

Primary practice location

1125 7TH Ave
Beaver Falls, PA 15010-4426

Mailing address

1125 7TH Ave
Beaver Falls, PA 15010-4426
Phone (724) 773-8980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606001869 TX Practitioner - Hospitalist 9931254620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe County Hospital BoardGroup PAC ID 5496653842, 31 clinicians

Practice addresses (Care Compare)

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-2411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board CurrentSince Jul 1, 2024 Accepting new patients
Guadalupe County Hospital Board CurrentSince Jul 1, 2024 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1033205729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104426",
            "telephone_number": "724-773-8980",
            "fax_number": "724-770-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104426",
            "telephone_number": "724-773-8980",
            "fax_number": "724-770-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGBERG",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD437163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.