Individual provider Active NPI

Brian Hassani

  • Emergency Medicine Physician
  • Montgomery, AL
National Provider Identifier
1174919310
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.35562 Issued in AL
Practice address
2065 E South Blvd Ste 204
Montgomery, AL 36116-2460
Phone
(334) 747-7300
Fax
(334) 747-7320
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD.35562 AL Primary

Addresses

Primary practice location

2065 E South Blvd Ste 204
Montgomery, AL 36116-2460

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20171215001008 AL Practitioner - Emergency Medicine 8628399367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians

Practice addresses (Care Compare)

2065 E S Blvd
Suite 204
Montgomery, AL 36116-2460
Phone (334) 747-7300

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.35562ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Mar 30, 2022 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Jul 6, 2018 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Mar 30, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2065 E South Blvd
Ste 204
Montgomery, AL 36116
Phone (334) 281-6990

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

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 1

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1174919310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E SOUTH BLVD STE 204",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162460",
            "telephone_number": "334-747-7300",
            "fax_number": "334-747-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANI",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.35562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.