Active NPI
Daniel Paul Hobgood IV, LMT
- Specialist
- Pensacola, FL
National Provider Identifier
1437482023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA#31761
- Practice address
- 4317 Spanish TRL
Pensacola, FL 32504-4942 - Phone
- (850) 313-2085
- Fax
- (850) 479-9154
- NPI assigned
- Sep 14, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA#31761 | FL | Primary |
Addresses
Primary practice location
4317 Spanish TRL
Pensacola, FL 32504-4942
Mailing address
6420 Chapel St
Pensacola, FL 32504-7013
Phone (850) 313-2085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1292 | Other | FL | BLUE CROSS/BLUE SHIELD PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA#31761 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1437482023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 CHAPEL ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047013",
"telephone_number": "850-313-2085",
"fax_number": "850-479-9154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 SPANISH TRL",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325044942",
"telephone_number": "850-313-2085",
"fax_number": "850-479-9154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBGOOD",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA#31761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD PROVIDER NUMBER",
"identifier": "C1292",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.