NPIMap

Individual provider Active NPI

Byron David Kion Hoffman

  • Family Medicine Physician
  • Deer River, MN
National Provider Identifier
1609805456
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32397 Issued in MN
Practice address
1025 10TH Ave NE
Deer River, MN 56636-8703
Phone
(218) 246-8275
Fax
(218) 246-8279
NPI assigned
Jul 2, 2006
Last updated
May 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 32397 MN Primary

Addresses

Primary practice location

1025 10TH Ave NE
Deer River, MN 56636-8703

Mailing address

1025 10TH Ave NE
Deer River, MN 56636-8703
Phone (218) 246-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000522 MN Practitioner - Family Practice 3274660352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oral Roberts University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer River Healthcare Center IncGroup PAC ID 1850388448, 14 clinicians

Practice addresses (Care Compare)

115 10TH Ave NE
Deer River, MN 56636-8795

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deer River Healthcare Center, Inc. CurrentSince May 21, 1996 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jun 30, 1993 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince May 21, 1996 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jun 30, 1993 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients

Locations

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1232 Birch St N
Tower, MN 55790
Phone (218) 753-7788

Organizations & group practices 6

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 12

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1609805456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 10TH AVE NE",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566368703",
            "telephone_number": "218-246-8275",
            "fax_number": "218-246-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 10TH AVE NE",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566368703",
            "telephone_number": "218-246-8275",
            "fax_number": "218-246-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "BYRON",
        "middle_name": "DAVID KION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "32397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer River, MN

Sources for this page

Verify at the official NPI Registry.