NPIMap

Individual provider Active NPI

Charles Brett Hofmann, M.D.

  • Internal Medicine Physician
  • Princess Anne, MD
National Provider Identifier
1104023076
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0059931 Issued in MD
Practice address
30434 Mount Vernon Rd
Princess Anne, MD 21853-1400
Phone
(410) 651-0350
Fax
(410) 651-4857
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0059931 MD Primary

Addresses

Primary practice location

30434 Mount Vernon Rd
Princess Anne, MD 21853-1400

Mailing address

30434 Mount Vernon Rd
Princess Anne, MD 21853-1400
Phone (410) 651-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080118000289 MD Practitioner - Internal Medicine 9830270552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princess Anne Family PracticeGroup PAC ID 5496762858, 3 clinicians

Practice addresses (Care Compare)

30434 Mount Vernon Rd
Princess Anne, MD 21853-1400
Phone (410) 651-0350

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Tidalhealth Home Care Home health agency, Salisbury, MD, CCN 217079
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Enhabit Home Health Home health agency, Salisbury, MD, CCN 217157
  • Coastal Hospice Inc Hospice, Salisbury, MD, CCN 211505
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as individual
Quality
90.48
Improvement activities
40
Cost
69.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions77
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0059931MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princess Anne Family Practice CurrentSince Sep 1, 2003 Accepting new patients

Locations

30434 Mount Vernon Rd
Princess Anne, MD 21853
Phone (410) 543-4705

Interoperability endpoints

  • Direct secure messaging: charles.hofmann@pafp-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1104023076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30434 MOUNT VERNON RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531400",
            "telephone_number": "410-651-0350",
            "fax_number": "410-651-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30434 MOUNT VERNON RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531400",
            "telephone_number": "410-651-0350",
            "fax_number": "410-651-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "CHARLES",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0059931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

Verify at the official NPI Registry.