Organization Active NPI

Bruce R Hoffen MD PA

  • Neurology Physician
  • Longwood, FL
National Provider Identifier
1053642132
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME64419 Issued in FL
Legal business name
BRUCE R HOFFEN MD PA
Practice address
515 W State Road 434 Ste 205
Longwood, FL 32750-5138
Phone
(407) 332-5141
Fax
(407) 332-6819
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Bruce R. Hoffen, M.D.
Title
President
Phone
(407) 332-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME64419 FL Primary

Addresses

Primary practice location

515 W State Road 434 Ste 205
Longwood, FL 32750-5138

Mailing address

515 W State Road 434 Ste 205
Longwood, FL 32750-5138
Phone (407) 332-5141

Other names 1

  • Florida NeuroHealth Doing business as

National Provider Directory

National Provider Directory

Locations

515 W State Road 434
Ste 205
Longwood, FL 32750
Phone (407) 332-5141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1053642132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 205",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505138",
            "telephone_number": "407-332-5141",
            "fax_number": "407-332-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 205",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505138",
            "telephone_number": "407-332-5141",
            "fax_number": "407-332-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R HOFFEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "HOFFEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-332-5141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME64419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida NeuroHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.