Active NPI
Benjamin David Hoagland, MD
- Surgery Physician
- Jacksonville, FL
National Provider Identifier
1053583443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101255646
- Practice address
- 554 Keily Street
Jacksonville, FL 32212-1312 - Phone
- (757) 953-7550
- Fax
- (757) 953-7560
- NPI assigned
- Mar 26, 2008
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101255646 | VA | Primary |
Addresses
Primary practice location
554 Keily Street
Jacksonville, FL 32212-1312
Mailing address
Andrews Medical Group - Joint Base Andrews
Building 1060, W. Perimeter Road
Joint Base Andrews, MD 20762
Phone (240) 612-1650
Other practice location 1
Andrews Medical Group - Joint Base Andrews
Building 1060, W. Perimeter Road
Joint Base Andrews, MD 20762
Phone (240) 612-1650
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101255646 | VA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1053583443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ANDREWS MEDICAL GROUP - JOINT BASE ANDREWS",
"address_2": "BUILDING 1060, W. PERIMETER ROAD",
"city": "JOINT BASE ANDREWS",
"state": "MD",
"postal_code": "20762",
"telephone_number": "240-612-1650",
"fax_number": "240-612-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 KEILY STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322121312",
"telephone_number": "757-953-7550",
"fax_number": "757-953-7560"
}
],
"practiceLocations": [
{
"address_1": "Andrews Medical Group - Joint Base Andrews",
"address_2": "Building 1060, W. Perimeter Road",
"address_purpose": "LOCATION",
"city": "Joint Base Andrews",
"state": "MD",
"postal_code": "20762",
"country_code": "US",
"telephone_number": "240-612-1650",
"fax_number": "240-612-2982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOAGLAND",
"first_name": "BENJAMIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-26",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101255646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.