Individual provider Active NPI

Brian A Hagan, M.D.

  • Emergency Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1295978922
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
249811 Issued in MA
Practice address
725 North St
Pittsfield, MA 01201-4109
Phone
(207) 252-0637
NPI assigned
Apr 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 249811 MA Primary

Addresses

Primary practice location

725 North St
Pittsfield, MA 01201-4109

Mailing address

74 Straw Ave
Florence, MA 01062-1444
Phone (207) 252-0637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120511000164 MA Practitioner - Emergency Medicine 6103089099 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249811MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Sep 23, 2012 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
Fairview Hospital CurrentSince Sep 23, 2012 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 16, 2012 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Sep 23, 2013 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 16, 2012 Accepting new patients
Baystate Franklin Medical Center CurrentSince Sep 23, 2012 Accepting new patients
Westfield Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients

Locations

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1295978922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 STRAW AVE",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621444",
            "telephone_number": "207-252-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "207-252-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "249811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.