Active NPI
Bryan Michael Haggard
- Clinical Social Worker
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.022905
- Practice address
- 4414 Benning Rd NE
Washington, DC 20019-4555 - Phone
- (202) 469-4699
- NPI assigned
- Jan 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | 149.022905 | Primary |
Addresses
Primary practice location
4414 Benning Rd NE
Washington, DC 20019-4555
Mailing address
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (202) 715-7900
Other practice location 1
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone (310) 945-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexumhc Consultants, PLLC | Clinical | Current | Accepting new patients |
| Unity Health Care Inc. | Current | Accepting new patients | |
| Unity Health Care, Inc. | Current | Accepting new patients |
Locations
1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817
4414 Benning Rd NE
Washington, DC 20019
Phone (202) 388-7891
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
7373 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 887-6150
Interoperability endpoints
- bryan.haggard@uhci.eclinicaldirectplus.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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Clinical Social Worker
- Lincolnwood, IL
- NPI 1851082598
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1538623673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NEW JERSEY AVE SE STE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033326",
"telephone_number": "202-715-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 BENNING RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200194555",
"telephone_number": "202-469-4699"
}
],
"practiceLocations": [
{
"address_1": "9808 Venice Blvd Ste 700",
"address_purpose": "LOCATION",
"city": "Culver City",
"state": "CA",
"postal_code": "902326824",
"country_code": "US",
"telephone_number": "310-945-3350",
"fax_number": "310-945-3356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGGARD",
"first_name": "BRYAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "149.022905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.