Individual provider Active NPI

Brianne Elizabeth Hackman, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1336469949
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
244324 Issued in MA
Practice address
330 Brookline Ave
Deaconess 311
Boston, MA 02215-5400
Phone
(857) 203-3169
Fax
(857) 203-5645
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 52211 AZ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 244324 MA Primary

Addresses

Primary practice location

330 Brookline Ave
Deaconess 311
Boston, MA 02215-5400

Mailing address

19636 N 27TH Ave Ste 401
Phoenix, AZ 85027-4021
Phone (602) 861-1168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160608001976 AZ Practitioner - Internal Medicine 7012207798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10101 N 92ND St
Suite 101
Scottsdale, AZ 85258-4553
Phone (480) 882-7450

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244324MAMDInternal Medicine Physician
52211AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Multi-Specialty CurrentSince Jul 1, 2016 Accepting new patients
Honorhealth Ambulatory Multi-Specialty Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince Jul 1, 2016 Accepting new patients
Honorhealth Ambulatory Multi-Specialty Past Accepting new patients

Locations

9250 N 3rd St
Ste 3010
Phoenix, AZ 85020
Phone (623) 238-7750

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

19636 N 27th Ave
Ste 401
Phoenix, AZ 85027
Phone (602) 298-8888

19841 N 27th Ave
Ste 101
Phoenix, AZ 85027
Phone (602) 439-1111

10101 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1919

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: bhackman95319@direct.honorhealth.com
  • Direct secure messaging: bhackman95319@direct.jcl.com

Organizations & group practices 4

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 4

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1336469949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274021",
            "telephone_number": "602-861-1168",
            "fax_number": "480-882-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "DEACONESS 311",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "857-203-3169",
            "fax_number": "857-203-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKMAN",
        "first_name": "BRIANNE",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "52211",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "244324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.