Individual provider Active NPI

Elizabeth Brooks Hagee, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1568548758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L8671 Issued in TX
Practice address
8606 Village Drive
Ste a
San Antonio, TX 78217-5416
Phone
(210) 657-0220
Fax
(210) 590-7288
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L8671 TX Primary

Addresses

Primary practice location

8606 Village Drive
Ste a
San Antonio, TX 78217-5416

Mailing address

8606 Village Drive
Ste a
San Antonio, TX 78217-5416
Phone (210) 657-0220

Other identifiers 1

IdentifierTypeStateIssuer
1658627-07MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001132 TX Practitioner - Pediatric Medicine 0547231318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Healthcare Associates, PLLC Pediatrics CurrentSince Mar 15, 2013 Accepting new patients

Locations

14100 San Pedro Ave
Ste 200
San Antonio, TX 78232

1139 E Sonterra Blvd
#205
San Antonio, TX 78258
Phone (210) 614-2229

8606 Village Dr
#A
San Antonio, TX 78217
Phone (210) 657-0220

8606 Village Dr
San Antonio, TX 78217
Phone (210) 488-6405

1139 E Sonterra Blvd
Ste 205
San Antonio, TX 78258
Phone (210) 614-2229

Interoperability endpoints

  • Direct secure messaging: ebh@npa.pcc-direct.com

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568548758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 VILLAGE DRIVE",
            "address_2": "STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175416",
            "telephone_number": "210-657-0220",
            "fax_number": "210-590-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8606 VILLAGE DRIVE",
            "address_2": "STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175416",
            "telephone_number": "210-657-0220",
            "fax_number": "210-590-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEE",
        "first_name": "ELIZABETH",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658627-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.