Individual provider Active NPI

Brandon Christian Hagopian, DO

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1588192801
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83721 Issued in GA
Practice address
2011 Windsor Spring Rd
Augusta, GA 30906-4957
Phone
(706) 798-1700
Fax
(706) 798-8626
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 009053 GA
Family Medicine Physician 207Q00000X 83721 GA Primary

Addresses

Primary practice location

2011 Windsor Spring Rd
Augusta, GA 30906-4957

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other practice location 1

1701 Magnolia Way Ste 102
Augusta, GA 30909-9484
Phone (706) 922-6699

Other identifiers 1

IdentifierTypeStateIssuer
83721OtherGALICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brandonhagopian@cpcfp.medalliesdirect.net Direct
Direct Messaging Address brandonhagopian@cpcfp.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200317002586 GA Practitioner - Family Practice 0648608000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2011 Windsor Spring Rd
Augusta, GA 30906-4957
Phone (706) 798-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009053GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care PC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients

Locations

3614 J Dewey Gray Cir
Ste D
Augusta, GA 30909
Phone (706) 868-7380

2011 Windsor Spring Rd
Augusta, GA 30906
Phone (706) 798-1700

1701 Magnolia Way
Ste 102
Augusta, GA 30909
Phone (706) 922-6699

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

Interoperability endpoints

  • Direct secure messaging: brandon.hagopian.1@26418.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1588192801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WINDSOR SPRING RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064957",
            "telephone_number": "706-798-1700",
            "fax_number": "706-798-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Magnolia Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309099484",
            "country_code": "US",
            "telephone_number": "706-922-6699",
            "fax_number": "706-868-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGOPIAN",
        "first_name": "BRANDON",
        "middle_name": "CHRISTIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "009053",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "83721",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandonhagopian@cpcfp.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3614 J Dewey Gray Cir Ste D",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309096512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandonhagopian@cpcfp.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2011 Windsor Spring Rd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309064957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.