Individual provider Active NPI

Bryan Michael Haggard

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1538623673
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240710002050 IL Practitioner - Clinical Social Worker 4183169501 Reassigns benefits to 2 organizations
I20240819001197 DC Practitioner - Clinical Social Worker 4183169501 Reassigns benefits to 2 organizations

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
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

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

OrganizationSpecialtyStatusNew patients
Nexumhc Consultants, PLLC Clinical CurrentSince Apr 15, 2024 Accepting new patients
Unity Health Care Inc. CurrentSince Aug 6, 2024 Accepting new patients
Unity Health Care, Inc. CurrentSince Aug 6, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.