Active NPI
Reginald Anthony Hoffler, M.D.
- Psychiatry Physician
- Bridgeport, CT
National Provider Identifier
1063548899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 025989
- Practice address
- 1106 North Ave
Bridgeport, CT 06604-2710 - Phone
- (203) 579-6131
- Fax
- (203) 382-8464
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 025989 | CT | Primary |
Addresses
Primary practice location
1106 North Ave
Bridgeport, CT 06604-2710
Mailing address
PO Box 1468
New Haven, CT 06506-1468
Phone (203) 387-0678
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025989 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063548899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1468",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065061468",
"telephone_number": "203-387-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 NORTH AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066042710",
"telephone_number": "203-579-6131",
"fax_number": "203-382-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFLER",
"first_name": "REGINALD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "025989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.