NPIMap

Organization Active NPI

Mark L Hagood MD LLC

  • Otolaryngology Physician
  • Brownsboro, AL
National Provider Identifier
1497558795
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MARK L HAGOOD MD LLC
Practice address
5768 Highway 431 S
Brownsboro, AL 35741-9775
Phone
(256) 693-6863
Fax
(800) 506-4139
NPI assigned
Mar 31, 2025
Organization subpart
No

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725003976 AL Part B Supplier - Clinic/Group Practice 8628585551 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsboro, AL; Huntsville, AL

National Provider Directory

National Provider Directory

Locations

610 Airport Rd SW
Ste 200
Huntsville, AL 35802
Phone (256) 489-8845

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Mark Lester Hagood, MDNPI 1477507408
Title
Physician/President
Phone
(256) 693-6863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

5768 Highway 431 S
Brownsboro, AL 35741-9775

Mailing address

239 S Green Mountain Rd
Owens Cross Roads, AL 35763-9012
Phone (256) 509-5547

Other practice location 1

201 Whitesport Dr SW
Huntsville, AL 35801-6449
Phone (256) 693-6863

Other names 1

  • ENT Specialist of Huntsville Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1497558795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S GREEN MOUNTAIN RD",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639012",
            "telephone_number": "256-509-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5768 HIGHWAY 431 S",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "357419775",
            "telephone_number": "256-693-6863",
            "fax_number": "800-506-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Whitesport Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016449",
            "country_code": "US",
            "telephone_number": "256-693-6863",
            "fax_number": "800-506-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK L HAGOOD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "HAGOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "256-693-6863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT Specialist of Huntsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.