Individual provider Active NPI

Brandon Ernest Hagler, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1457525743
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5929 Issued in LA
Practice address
7023 Read LN
New Orleans, LA 70127-2366
Phone
(504) 244-0177
Fax
(504) 309-9666
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5929 LA Primary

Addresses

Primary practice location

7023 Read LN
New Orleans, LA 70127-2366

Mailing address

1201 Canal St Apt 501
New Orleans, LA 70112-2673
Phone (504) 906-0099

Other identifiers 1

IdentifierTypeStateIssuer
1859290MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129000578 LA Order and Referring Only - DentistPractitioner - Dentist 5193028827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Family Dental Inc CurrentSince Oct 29, 2012 Accepting new patients

Locations

7023 Read Ln
New Orleans, LA 70127
Phone (504) 244-0177

Organizations & group practices 1

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1457525743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CANAL ST APT 501",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122673",
            "telephone_number": "504-906-0099",
            "fax_number": "504-309-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 READ LN",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272366",
            "telephone_number": "504-244-0177",
            "fax_number": "504-309-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLER",
        "first_name": "BRANDON",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859290",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.