BRIAN HASELOFF MD PA
NPI 1104354604
Physical Medicine & Rehabilitation - Pain Medicine in Amarillo, TX
About Brian Haseloff Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN HASELOFF MD PA (NPI 1104354604) is a healthcare organization registered as a pain medicine in Amarillo, Texas and active in the NPI registry since May 2017. The organization lists Brian Haseloff, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brian Haseloff Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian Haseloff MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brian Haseloff MD PA's NPI number?
The NPI number for Brian Haseloff MD PA is 1104354604. It was assigned to this organization in the NPPES registry on May 27, 2017.
Where is Brian Haseloff MD PA located?
Brian Haseloff MD PA is located at 3501 S Soncy Rd Ste 1002, Amarillo, TX 79119. The listed phone number is (806) 341-2188.
What is Brian Haseloff MD PA's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Brian Haseloff MD PA enrolled in Medicare?
Yes. Brian Haseloff MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brian Haseloff MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Brian Haseloff MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brian Haseloff MD PA was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brian Haseloff Md Pa · NPI 1104354604
Pain Medicine organization in Amarillo, Texas. Organization record, active in the CMS NPPES registry since May 27, 2017.
## Identity
- **NPI:** 1104354604 (Entity type: Organization)
- **Enumerated:** May 27, 2017
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **Organization subpart:** No
- **Authorized official:** Brian Haseloff, PHYSICIAN
## Practice location
- **Address:** 3501 S SONCY RD STE 1002, Amarillo, TX 79119-4932
- **Phone:** (806) 341-2188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104354604) · Data from the CMS NPPES public registry.