Active NPI
Brianne Elizabeth Hackman, M.D.
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 244324
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 52211 | AZ | |
| Internal Medicine Physician | 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
Enrollment records 1
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
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
- Honorhealth Sonoran Crossing Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honor Health John C. Lincoln Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244324 | MA | MD | Internal Medicine Physician |
| 52211 | AZ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Multi-Specialty | Current | Accepting new patients |
| Honorhealth Ambulatory | Multi-Specialty | Current | Accepting new patients |
| Scottsdale Healthcare Corp | Current | 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
- bhackman95319@direct.honorhealth.com
- 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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
Multi-Specialty
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1144506064
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.