Individual provider Active NPI

Brent Kevin Hoke, DO

  • Family Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1508884453
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4J25 Issued in MO
Practice address
407 E Russell Ave BLDG C
Warrensburg, MO 64093-1242
Phone
(660) 747-5114
Fax
(660) 747-5684
NPI assigned
Jul 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4J25 MO Primary

Addresses

Primary practice location

407 E Russell Ave BLDG C
Warrensburg, MO 64093-1242

Mailing address

407 E Russell Ave BLDG C
Warrensburg, MO 64093-1242
Phone (660) 747-5114

Other identifiers 3

IdentifierTypeStateIssuer
4630453OtherMOAETNA NUMBER
15389063OtherMOBLUE CROSS BLUE SHIELD KC
11060318OtherMOCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050916000355 MO Practitioner - Family Practice 8325071715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

407 E Russell Ave
BLDG C
Warrensburg, MO 64093-1242
Phone (660) 747-5114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4J25MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Current Accepting new patients
Western Missouri Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Western Missouri Medical Center Family Medicine CurrentSince May 19, 2018 Accepting new patients
Gray Chiropractic & Wellness Center LLC PastSince Oct 27, 2019 Accepting new patients

Locations

600 E Allen St
Ste A
Knob Noster, MO 65336
Phone (660) 563-5555

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 E Russell Ave
#C
Warrensburg, MO 64093
Phone (660) 747-5114

427 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 262-7580

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508884453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E RUSSELL AVE BLDG C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931242",
            "telephone_number": "660-747-5114",
            "fax_number": "660-747-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E RUSSELL AVE BLDG C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931242",
            "telephone_number": "660-747-5114",
            "fax_number": "660-747-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOKE",
        "first_name": "BRENT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4J25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "4630453",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "15389063",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11060318",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.