Active NPI
Adam J Haggerty, D.O.
- Interventional Pain Medicine Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 70302-21
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70302 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Interventional Pain Medicine | Current | Accepting new patients |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Interventional Pain Medicine | Current | Accepting new patients |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | 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
- 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.
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1588609648
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Critical Access Hospital
- Boscobel, WI
- NPI 1760459846
-
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
- Clinic/Center
- Hillsboro, WI
- NPI 1104031798
-
- Critical Access Hospital
- Hillsboro, WI
- NPI 1972591410
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1134490758
-
- Optometrist
- Friendship, WI
- NPI 1396234837
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.