Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan P Haggerty, PAC

Individual provider Physician Assistant · NPI 1669492054

Bryan P Haggerty, PAC is a Physician Assistant in Hartford, Connecticut. Qualified in 2003, 23 years ago. Practices with Midstate Medical Center, a 182-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
23
Licensed in
CT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

114 Woodland St Surgery Dept
Hartford, CT 06105-1208
Phone: (860) 714-4694
Fax: (860) 714-8096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1779
Physician Assistant Taxonomy 363A00000X · Licence 001779 (CT)

Record details

NPI number1669492054
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Midstate Medical Center — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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