BRYAN P HAGGERTY PAC
NPI 1669492054
Physician Assistant - Surgical in Hartford, CT

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
114 WOODLAND ST, SURGERY DEPT., HARTFORD, CT 06105(860) 714-4694(860) 714-8096 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bryan P Haggerty Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN P HAGGERTY PAC (NPI 1669492054) is an individual surgical provider in Hartford, Connecticut, licensed in (1779) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1669492054
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRYAN P HAGGERTYCredential: PAC
Location Address114 WOODLAND ST, SURGERY DEPT.Hartford, CT 06105-1208
Mailing Address1000 Asylum Ave, Suite 2109aHartford, CT 06105-1770 · (860) 714-6581 · Fax (860) 714-8311
Fax(860) 714-8096
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 16, 2021
NPPES CertifiedJune 16, 2021
NPI 1669492054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed · 1779
Also ListedPhysician AssistantTaxonomy 363A00000X · License 001779 (CT)
114 WOODLAND ST, Hartford, CT 06105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bryan P Haggerty Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931103470
PECOS Enrollment IDI20060914000158
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
34 services34 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
31 services30 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$60.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
114 WOODLAND ST
HARTFORD, CT 06105
Nurse Practitioner (Family)
114 WOODLAND ST
HARTFORD, CT 06105
Nurse Practitioner (Adult Health)
114 WOODLAND ST
HARTFORD, CT 06105
Clinic/Center (Dental)
114 WOODLAND ST
HARTFORD, CT 06105
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
HARTFORD, CT 06105
Nurse Anesthetist, Certified Registered
114 WOODLAND ST, WOODLAND ANESTHESIOLOGY ASSOCIATES PC
HARTFORD, CT 06105

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 Bryan Haggerty's NPI number?

The NPI number for Bryan Haggerty is 1669492054. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Bryan Haggerty located?

Bryan Haggerty practices at 114 Woodland St Surgery Dept., Hartford, CT 06105. The listed phone number is (860) 714-4694.

What is Bryan Haggerty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bryan Haggerty enrolled in Medicare?

Yes. Bryan Haggerty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bryan Haggerty was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.