Active NPI
Phillip Franklin Hoffer, MD
- Anesthesiology Physician
- Bristol, TN
National Provider Identifier
1528144771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD0000014540
- Practice address
- 133 Queensgate
Bristol, TN 37620-3041 - Phone
- (423) 652-2812
- NPI assigned
- Oct 31, 2006
- Last updated
- Dec 15, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD0000014540 | TN | Primary |
Addresses
Primary practice location
133 Queensgate
Bristol, TN 37620-3041
Mailing address
PO Box 2168
Bristol, TN 37621-2168
Phone (423) 652-2812
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138606 | Other | VA | BLUE CROSS |
| 005748232 | Other | VA | MEDICAID |
| 3043330 | Medicaid | TN | |
| 3043330 | Other | TN | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8642 | SC | MD | Professional Counselor |
| MD0000014540 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcare of West Virginia Inc | Anesthesiology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Logan, WV
- NPI 1861567851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1528144771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376212168",
"telephone_number": "423-652-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 QUEENSGATE",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376203041",
"telephone_number": "423-652-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFER",
"first_name": "PHILLIP",
"middle_name": "FRANKLIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "MD0000014540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "138606",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "005748232",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3043330",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3043330",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.