Individual provider Active NPI

Benjamin David Hoagland, MD

  • Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1053583443
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101255646 Issued in VA
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

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0101255646VAMDSurgery 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.

Verify at the official NPI Registry.