Active NPI
Kimberly Hoffmann Brighton, PA
- Physician Assistant
- Chicago, IL
National Provider Identifier
1447783204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085006267
- Practice address
- 2233 W Division St
Chicago, IL 60622-8151 - Phone
- (312) 770-2000
- NPI assigned
- Apr 9, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085006267 | IL | Primary |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-8151
Mailing address
1000 Remington Blvd Ste 100
Bolingbrook, IL 60440-4707
Phone (630) 914-2898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447783204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REMINGTON BLVD STE 100",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404707",
"telephone_number": "630-914-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228151",
"telephone_number": "312-770-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHTON",
"first_name": "KIMBERLY",
"middle_name": "HOFFMANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085006267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Brighter Smile LLC (Brighter Smile)
- Grant Brighter
- Brighthouse Diagnostics, LLC (Brighthouse Diagnostics and Treatment Center)
- Brightland Health LLC
- Brighton Park Dental
- Brightside Consulting LLC (Brightside Integrated Health)
- Brightside Nutrition Counseling
- Brightsmiles Pediatric Dentistry
- Brightview Care Center, Inc.
- Brightwater & Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.