Active NPI
Brian David Hoefer, MS, LAT, CSCS
- Athletic Trainer
- Madison, WI
National Provider Identifier
1497898571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 590-039
- Practice address
- 1000 Edgewood College Dr
Madison, WI 53711-1997 - Phone
- (608) 663-3326
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 590-039 | WI | Primary |
Addresses
Primary practice location
1000 Edgewood College Dr
Madison, WI 53711-1997
Mailing address
104 Canterbury CT
Waunakee, WI 53597-1704
Phone (608) 850-5703
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 590-039 | WI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood College Health Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Madison, WI
- NPI 1437604691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497898571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CANTERBURY CT",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535971704",
"telephone_number": "608-850-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EDGEWOOD COLLEGE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537111997",
"telephone_number": "608-663-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEFER",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MS, LAT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "590-039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.