Active NPI
Bruce D Hagmann, R,PH., M.SC.,
- Pharmacist
- Big Lake, TX
National Provider Identifier
1528060563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18715
- Practice address
- 903 N Main Ave
Big Lake, TX 76932-3201 - Phone
- (325) 884-3300
- Fax
- (325) 884-3234
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18715 | TX | Primary |
Addresses
Primary practice location
903 N Main Ave
Big Lake, TX 76932-3201
Mailing address
PO Box 220
Big Lake, TX 76932-0220
Phone (325) 884-2579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144632 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18715 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528060563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "BIG LAKE",
"state": "TX",
"postal_code": "769320220",
"telephone_number": "325-884-2579",
"fax_number": "325-884-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 N MAIN AVE",
"city": "BIG LAKE",
"state": "TX",
"postal_code": "769323201",
"telephone_number": "325-884-3300",
"fax_number": "325-884-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGMANN",
"first_name": "BRUCE",
"middle_name": "D",
"credential": "R,PH., M.SC.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144632",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Lake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.