Active NPI
Robert Hasselbrack, MD, FCAP
- Specialist
- Seattle, WA
National Provider Identifier
1972704047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00008894
- Practice address
- 10740 Meridian Ave N
G-3
Seattle, WA 98133-9010 - Phone
- (206) 365-5177
- Fax
- (206) 362-0943
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00008894 | WA | Primary |
Addresses
Primary practice location
10740 Meridian Ave N
G-3
Seattle, WA 98133-9010
Mailing address
5051 50TH Ave NE
#36
Seattle, WA 98105-2862
Phone (206) 365-5177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00008894 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972704047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5051 50TH AVE NE",
"address_2": "#36",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981052862",
"telephone_number": "206-365-5177",
"fax_number": "206-362-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 MERIDIAN AVE N",
"address_2": "G-3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339010",
"telephone_number": "206-365-5177",
"fax_number": "206-362-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSELBRACK",
"first_name": "ROBERT",
"credential": "MD, FCAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00008894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.