Individual provider Active NPI

Brian K Hoban, M.D.

  • Otolaryngology Physician
  • Bradenton, FL
National Provider Identifier
1356340004
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME0059977 Issued in FL
Practice address
701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8604
Phone
(941) 748-2455
Fax
(941) 746-4554
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME0059977 FL Primary

Addresses

Primary practice location

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8604

Mailing address

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8604
Phone (941) 748-2455

Other practice location 1

772 Cortaro Dr
Ruskin, FL 33573-6811
Phone (941) 748-2455

Other practice location 2

8340 Lakewood Ranch Blvd Ste 180
Lakewood Ranch, FL 34202-5185
Phone (941) 748-2455

Other identifiers 2

IdentifierTypeStateIssuer
624451OtherFLAETNA PROVIDER NUMBER
14215OtherFLBCBS PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brianhoban@entofmanatee.emadirect.md Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915001012 FL Practitioner - Otolaryngology 4688648231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Associates of Manatee, PAGroup PAC ID 6406820026, 11 clinicians

Practice addresses (Care Compare)

701 Manatee Ave W
Suite 201
Bradenton, FL 34205-8624
Phone (941) 749-5222

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8645
Phone (941) 748-2455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux13
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0059977FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose, and Throat Associates of Manatee, PA CurrentSince Jun 3, 1991 Accepting new patients
Manatee Hearing & Speech Center, Inc. Otolaryngology CurrentSince Jun 3, 1991 Accepting new patients
Manatee Hearing & Speech Center Inc CurrentSince Jun 3, 1991 Accepting new patients
Manatee Hearing & Speech Center Inc CurrentSince Jun 3, 1991 Accepting new patients

Locations

701 Manatee Ave W
Ste 202
Bradenton, FL 34205
Phone (941) 748-2455

701 Manatee Ave W
Ste 201
Bradenton, FL 34205
Phone (941) 749-5222

8340 Lakewood Ranch Blvd
Ste 180
Lakewood Ranch, FL 34202
Phone (941) 748-2455

772 Cortaro Dr
Sun City Center, FL 33573
Phone (813) 633-9443

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: brianhoban@entofmanatee.emadirect.md

Organizations & group practices 4

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 3

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1356340004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "772 Cortaro Dr",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335736811",
            "country_code": "US",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8340 Lakewood Ranch Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025185",
            "country_code": "US",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBAN",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0059977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "624451",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "14215",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianhoban@entofmanatee.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "HISP Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Manatee Ave W",
            "address_2": "SUITE 202",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342058604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.