Individual provider Active NPI

Adam J Haggerty, D.O.

  • Interventional Pain Medicine Physician
  • Green Bay, WI
National Provider Identifier
1043741507
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
70302-21 Issued in WI
Practice address
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone
(920) 288-8377
Fax
(920) 288-8385
NPI assigned
Mar 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 70302-21 WI Primary
Emergency Medicine Physician 207P00000X 70302 WI

Addresses

Primary practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046

Other practice location 1

321 Butts Ave
Tomah, WI 54660-1412
Phone (608) 372-2181

Other practice location 2

9200 W Wisconsin Ave
1P
Milwaukee, WI 53226-3522
Phone (414) 805-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812002229 WI Practitioner - Interventional Pain ManagementPractitioner - Emergency Medicine 7214278647 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Clinic LLPGroup PAC ID 4385554328, 197 clinicians

Practice addresses (Care Compare)

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70302WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Memorial Hospital, Inc. CurrentSince Mar 10, 2021 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Feb 10, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Feb 10, 2021 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
Baycare Clinic LLP CurrentSince Mar 1, 2026 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Aug 10, 2020 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Aug 10, 2020 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Tomah Memorial Hospital Inc Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Interventional Pain Medicine CurrentSince Aug 10, 2020 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Feb 10, 2021 Accepting new patients
Memorial Hospital of Boscobel Interventional Pain Medicine CurrentSince Mar 1, 2021 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Jan 25, 2026 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Mar 1, 2021 Accepting new patients
Gundersen Clinic LTD CurrentSince Aug 10, 2020 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Mar 10, 2021 Accepting new patients

Locations

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1035 Kepler Dr
Green Bay, WI 54311

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

321 Butts Ave
Tomah, WI 54660
Phone (608) 372-2181

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

18606 Ervin St
Whitehall, WI 54773
Phone (715) 538-4330

Interoperability endpoints

  • Direct secure messaging: ahaggerty317520@direct.emplifyhealth.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1043741507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118320",
            "telephone_number": "920-490-9046",
            "fax_number": "920-405-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 GREENBRIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116519",
            "telephone_number": "920-288-8377",
            "fax_number": "920-288-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Butts Ave",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546601412",
            "country_code": "US",
            "telephone_number": "608-372-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_2": "1P",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-805-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "70302-21",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "70302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.