Organization Active NPI

Brian P Haggerty DC Inc

  • Internist Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1720123359
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
CH7618 Issued in FL
Legal business name
BRIAN P HAGGERTY DC INC
Practice address
910 NE 2ND St
Deerfield Beach, FL 33441-2138
Phone
(954) 570-7699
Fax
(954) 570-7698
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Patrick Haggerty, DCNPI 1811034754
Title
President
Phone
(954) 570-7699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0900X CH7618 FL Primary

Addresses

Primary practice location

910 NE 2ND St
Deerfield Beach, FL 33441-2138

Mailing address

PO Box 8587
Deerfield Beach, FL 33443-8587
Phone (954) 570-7699

Other identifiers 5

IdentifierTypeStateIssuer
3224470OtherFLDR HAGGERTY CIGNA #
2100148OtherFLDR HAGGERTYFIRST HEALTH #
40974OtherFLBCBS GROUP #
647625OtherFLDR HAGGERTY UHC #
1811034754OtherFLBRIAN HAGGERTY, DC NPI #

Other names 1

  • Central Boca Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720123359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8587",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334438587",
            "telephone_number": "954-570-7699",
            "fax_number": "954-570-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NE 2ND ST",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334412138",
            "telephone_number": "954-570-7699",
            "fax_number": "954-570-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P HAGGERTY DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-570-7699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "CH7618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HAGGERTY CIGNA #",
            "identifier": "3224470",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HAGGERTYFIRST HEALTH #",
            "identifier": "2100148",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "40974",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HAGGERTY UHC #",
            "identifier": "647625",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRIAN HAGGERTY, DC NPI #",
            "identifier": "1811034754",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Boca Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.