NPIMap

Individual provider Active NPI

Hulda Bra Magnadottir, M.D.

  • Neurological Surgery Physician
  • Lebanon, NH
National Provider Identifier
1750562260
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
11711 Issued in NH
Practice address
106 Hanover St
Lebanon, NH 03766-1042
Phone
(603) 448-0447
Fax
(603) 448-1089
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 11711 NH Primary

Addresses

Primary practice location

106 Hanover St
Lebanon, NH 03766-1042

Mailing address

106 Hanover St
Lebanon, NH 03766-1042
Phone (603) 448-0447

Other identifiers 2

IdentifierTypeStateIssuer
188305OtherCIGNA
30203122MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000313 NH Practitioner - Neurosurgery 3072693415 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Peck Day Memorial HospitalGroup PAC ID 6103737531, shared by 3 NPIs, 132 clinicians

Practice addresses (Care Compare)

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

5 Alice Peck Day Dr
Lebanon, NH 03766-2901
Phone (603) 448-3122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11711NHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Peck Day Memorial Hospital Neurological Surgery CurrentSince Dec 5, 2010 Accepting new patients
The New London Hospital Association, Inc. CurrentSince May 2, 2012 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jul 1, 2010 Accepting new patients
Alice Peck Day Memorial Hospital Current Accepting new patients
The New London Hospital Association, Inc. Neurological Surgery CurrentSince May 2, 2012 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

106 Hanover St
Ste 3A
Lebanon, NH 03766
Phone (603) 448-0447

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

106 Hanover St
Lebanon, NH 03766
Phone (603) 448-0447

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

273 County Rd
New London, NH 03257
Phone (603) 526-5215

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: hmagnadottir353903@direct.dartmouth-hitchcock.org

Organizations & group practices 6

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 12

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1750562260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HANOVER ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661042",
            "telephone_number": "603-448-0447",
            "fax_number": "603-448-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HANOVER ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661042",
            "telephone_number": "603-448-0447",
            "fax_number": "603-448-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNADOTTIR",
        "first_name": "HULDA",
        "middle_name": "BRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NH",
            "license": "11711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "188305",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203122",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.