Brian Hofung, MD, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD31830 Issued in TN

Legal business name

BRIAN HOFUNG, MD, PLLC

Practice address

602 N Roan St
Suite #2
Johnson City, TN 37601-4763

Phone

(423) 979-0466

Fax

(423) 979-0467

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brian Christopher Hofung, M.D.

Title

Owner

Phone

(423) 979-0466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1457585770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N ROAN ST",
            "address_2": "SUITE #2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014763",
            "telephone_number": "423-979-0466",
            "fax_number": "423-979-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N ROAN ST",
            "address_2": "SUITE #2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014763",
            "telephone_number": "423-979-0466",
            "fax_number": "423-979-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN HOFUNG, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "HOFUNG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-979-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MD31830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3841838",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Brewer, FNP
• Lindsay Jane Brewer, LCSW
• Meridith Ann Brewer, MA
• Richard George Brewer III, APRN
• Aaryn Michael-Jenny Brewster
• Gary Lynn Brickey, CSFA
• Christopher T Bridges
• William A Bridgforth, M.D.
• Jalen Bridwell
• Amie Jarrett Briggs, FNP-BC

• Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.