Organization Active NPI

John P Hagler MD LLC

  • General Practice Physician
  • Montgomery, AL
National Provider Identifier
1083775134
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6566 Issued in AL
Legal business name
JOHN P HAGLER MD LLC
Practice address
7051 Fain Park Dr
Ste 114
Montgomery, AL 36117-7816
Phone
(334) 649-2091
Fax
(334) 649-2097
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. John P Hagler MD, MD
Title
Owner/Physician
Phone
(334) 649-2091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 6566 AL Primary

Addresses

Primary practice location

7051 Fain Park Dr
Ste 114
Montgomery, AL 36117-7816

Mailing address

PO Box 242927
Montgomery, AL 36124-2927
Phone (334) 649-2091

Other identifiers 1

IdentifierTypeStateIssuer
529919310MedicaidAL

National Provider Directory

National Provider Directory

Locations

241 Winton M Blount Loop
#A
Montgomery, AL 36117
Phone (334) 277-8720

6920 Winton Blount Blvd
Ste 5
Montgomery, AL 36117
Phone (334) 462-2002

7051 Fain Park Dr
Ste 114
Montgomery, AL 36117
Phone (334) 649-2091

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1083775134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242927",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242927",
            "telephone_number": "334-649-2091",
            "fax_number": "334-649-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 FAIN PARK DR",
            "address_2": "STE 114",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177816",
            "telephone_number": "334-649-2091",
            "fax_number": "334-649-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P HAGLER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "HAGLER MD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "334-649-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "6566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919310",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.