Individual provider Active NPI

Brian D Hoffman, D.C.

  • Chiropractor
  • Saint Joseph, MI
National Provider Identifier
1659456010
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007567 Issued in MI
Practice address
2931 Niles Avenue
Saint Joseph, MI 49085-2417
Phone
(269) 983-2506
Fax
(269) 983-4307
NPI assigned
Oct 26, 2006
Last updated
Dec 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007567 MI Primary

Addresses

Primary practice location

2931 Niles Avenue
Saint Joseph, MI 49085-2417

Mailing address

2931 Niles Avenue
Saint Joseph, MI 49085-2417
Phone (269) 983-2506

Other identifiers 2

IdentifierTypeStateIssuer
950G550060OtherMIBCBS
P94079OtherMIBLUECARE NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110506000499 MI Practitioner - Chiropractic 0244415206 Practice locations: Saint Joseph, MI
I20210211000925 TX Practitioner - Chiropractic 0244415206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pokagon Band of Potawatomi IndiansGroup PAC ID 3476455445, 8 clinicians

Practice addresses (Care Compare)

2931 Niles Ave
Saint Joseph, MI 49085-2417

32652 Kno
Dowagiac, MI 49047-9805
Phone (269) 782-4141

P O Box
Suite 180
Dowagiac, MI 49047-0180

Merit-based Incentive Payment System (MIPS)

Final score
67.89 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pokagon Band of Potawatomi Indians CurrentSince Oct 26, 2020 Accepting new patients

Locations

32652 Kno
Dowagiac, MI 49047
Phone (269) 782-4141

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1659456010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 NILES AVENUE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852417",
            "telephone_number": "269-983-2506",
            "fax_number": "269-983-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 NILES AVENUE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852417",
            "telephone_number": "269-983-2506",
            "fax_number": "269-983-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950G550060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE NETWORK",
            "identifier": "P94079",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.