BRYAN M HAGEN


Address: 2955 N Highway 97 Ste 100, Bend, OR 97703-7559
Phone: 5413138501

BRYAN M HAGEN (NPI# 1790872000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790872000
Entity Type Individual
Full Name BRYAN M HAGEN
Credential DNP, PMHNP
Practice Address 2955 N Highway 97 Ste 100
Bend
OR 97703-7559
Practice Telephone 5413138501
Practice Fax Number 5412412363
Mailing Telephone 5413138501
Mailing Fax Number 5412412363
Enumeration Date 2006-10-06
Last Update Date 2020-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
201042999RN OR Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201250173NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500689745 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
19800 Village Office Ct Ste 102, Bend, OR 977021813 5413138501 5412412363

Other Providers BRYAN HAGEN

NPI Name Taxonomy Address Enumeration
1235276973 Bryan P Hagen Pharmacist 426 10th St, Worthington, MN 56187-2341 2007-01-31

Office Location

Street Address 2955 N HIGHWAY 97 STE 100
City BEND
State OR
Zip Code 97703-7559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033718242 Hagen Psychiatry LLC Nurse Practitioner 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 2020-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285250704 Elizabeth Jane Lindt Counselor 63311 Jamison Street, Bend, OR 97703 2020-06-20
1790318145 Leah Alice Williamson Counselor 118 Nw Thurston Ave, Bend, OR 97703 2020-02-13
1831658301 Pretty Moments Lingerie, LLC Durable Medical Equipment & Medical Supplies 63455 N Hwy 97 Suite 44, Bend, OR 97703 2019-03-14
1821561150 Kevin Hallmeyer Chiropractor 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 2019-01-09
1346743267 Jesse Maggie Mae Abraham Massage Therapist 39 Nw Lousiana Ave, Bend, OR 97703 2018-03-16
1891202396 Jerod Paul Michael Speech-Language Pathologist 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 2018-01-05
1952823023 Dan Packman Massage Therapist 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 2017-07-11
1023460102 Brennon Patrick Moore Counselor 835 Nw Bond St Ste 100, Bend, OR 97703 2016-07-12
1093160269 Eric Hinds Optometrist 63455 N Highway 97 Ste 75, Bend, OR 97703 2016-04-25
1417316191 Ronald Guiley Od, Mph, PC Clinic/Center 63455 N Hwy 97, Ste 75, Bend, OR 97703 2016-02-23
Find all providers in zip 97703

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578934535 Kimberly Sue Butler Nurse Practitioner 339 Sw Century Dr Ste 101, Bend, OR 97702-1199 2015-10-15
1528317898 Kara Lynn Kelly Nurse Practitioner 339 Sw Century Dr, Suite 101, Bend, OR 97702-1198 2012-09-02
1114273711 Deborah Macwilliams Nurse Practitioner 731 Nw Franklin Ave Ste 104, Bend, OR 97703 2012-08-01
1801122668 Kay Oliver Nurse Practitioner 1010 Nw Harriman St, Suite A, Bend, OR 97701-1912 2009-10-28
1699906305 Kristin Brooks Nurse Practitioner 336 Ne Norton Ave. Ste. 3, Bend, OR 97701-3598 2009-07-29
1003071499 Nicholas J Campo IIi Nurse Practitioner 233 Sw Wilson Ave Ste 201, Bend, OR 97702-2988 2008-07-24
1922180777 Deborah Padgett Coehlo Nurse Practitioner 62930 O B Riley Rd Ste 300, Bend, OR 97703-9459 2006-10-20
1033718242 Hagen Psychiatry LLC Nurse Practitioner 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 2020-10-19
1235766510 Richard Dean Akers Nurse Practitioner 2577 Ne Courtney Dr, Bend, OR 97701-7752 2020-03-25
1952854481 Kara Kelly, LLC Nurse Practitioner 2955 N Hwy 97, Suite 102, Bend, OR 97703-7559 2016-08-02
Find all providers in BEND

Competitor

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City BEND
Zip Code 97703

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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