Bruce Christopher Hagen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15490 Issued in TX

Practice address

13062 US-290
#100
Austin, TX 78737

Phone

(512) 362-8865

NPI assigned

May 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Austin Sports Chiropractic PLLC

  • Orthopedic Chiropractor
  • Austin, TX
  • NPI 1518457621
  NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1154597375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13062 US-290",
            "address_2": "#100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78737",
            "telephone_number": "512-362-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13062 US-290",
            "address_2": "#100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78737",
            "telephone_number": "512-362-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5109 S Crossing Pl",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571085076",
            "country_code": "US",
            "telephone_number": "605-361-1700",
            "fax_number": "605-361-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "BRUCE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1132",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7603182",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Hafterson
• Julia Kelly Hagan, MD
• Morgan Hagan, MA, CCC-SLP
• Gordon Hagbourne, LCSW, LCDC
• Anne Lilly Hagen, RN, MSN, CPNP-AC
• Conor Hagen, M.D.
• Joseph Hagen, PA-C
• Kristin Patricia Hagen
• Wendy Hagenow, CCC-SLP
• Debra Gail Hagens, RPH

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.