Individual provider Active NPI

Matt Hoffman, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1124471610
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131502 Issued in TX
Practice address
207 Sulphur Springs Rd
Ofc 1
Bryan, TX 77801-3134
Phone
(979) 446-4992
Fax
(979) 485-9524
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131502 TX Primary

Addresses

Primary practice location

207 Sulphur Springs Rd
Ofc 1
Bryan, TX 77801-3134

Mailing address

207 Sulphur Springs Rd
Ofc 1
Bryan, TX 77801-3134
Phone (979) 446-4992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719000288 TX Practitioner - Nurse Practitioner 2668708264 Practice locations: Bryan, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mhoffman528726@direct.sw.org
  • Direct secure messaging: matt.hoffman.1@15777.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1124471610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SULPHUR SPRINGS RD",
            "address_2": "OFC 1",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013134",
            "telephone_number": "979-446-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SULPHUR SPRINGS RD",
            "address_2": "OFC 1",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013134",
            "telephone_number": "979-446-4992",
            "fax_number": "979-485-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MATT",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.