NPIMap

Individual provider Active NPI

Gregory S. Backofen, M.D.

  • General Practice Physician
  • El Dorado, AR
National Provider Identifier
1619231966
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
Q5755 Issued in TX
Practice address
460 W Oak St
El Dorado, AR 71730-4567
Phone
(870) 881-4463
NPI assigned
Jul 2, 2012
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Q5755 TX Primary
General Practice Physician 208D00000X E-9281 AR

Addresses

Primary practice location

460 W Oak St
El Dorado, AR 71730-4567

Mailing address

2421 Worth St
Hemphill, TX 75948-7215
Phone (409) 787-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151110000803 TX Practitioner - Family Practice 2163748195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Hospital Leasing Hemphill, Inc.Group PAC ID 1759467111, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

109 Timberland Hwy
Pineland, TX 75968-4012
Phone (409) 217-3900

2421 Worth St
Hemphill, TX 75948-7215
Phone (409) 787-1416

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9281ARMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospital Leasing Hemphill, Inc CurrentSince Sep 1, 2015 Accepting new patients
Preferred Hospital Leasing Hemphill, Inc. Current Accepting new patients
Preferred Hospital Leasing Hemphill, Inc CurrentSince Jul 1, 2025 Accepting new patients
Hopkins County Hospital District Past Accepting new patients
Hopkins County Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

1111 Worth St
Hemphill, TX 75948
Phone (409) 787-1707

2301 Worth St
Hemphill, TX 75948

2421 Worth St
Hemphill, TX 75948
Phone (409) 787-1416

109 Timberland Hwy
Pineland, TX 75968
Phone (409) 217-3900

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemphill Care CenterHemphill, TX, CCN 675940 Skilled nursing facility Adp of the SNF Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1619231966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487215",
            "telephone_number": "409-787-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304567",
            "telephone_number": "870-881-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKOFEN",
        "first_name": "GREGORY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q5755",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "E-9281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.