Individual provider Active NPI

Bret Hoffman, D.C.

  • Chiropractor
  • Katy, TX
National Provider Identifier
1780087114
Registry record updated Jun 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12756 Issued in TX
Practice address
21820 Kingsland Blvd
101B
Katy, TX 77450-2508
Phone
(806) 202-5516
NPI assigned
Sep 30, 2014
Last updated
Jun 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 12756 TX Primary

Addresses

Primary practice location

21820 Kingsland Blvd
101B
Katy, TX 77450-2508

Mailing address

21820 Kingsland Blvd
101B
Katy, TX 77450-2508
Phone (806) 202-5516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120001983 TX Practitioner - Chiropractic 9537476437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock Advanced Physical Medicine PLLCGroup PAC ID 2466688346, 4 clinicians

Practice addresses (Care Compare)

2230 Indiana Ave
Unit 2
Lubbock, TX 79410-2192
Phone (806) 791-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12756TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Advanced Physical Medicine PLLC CurrentSince Nov 16, 2017 Accepting new patients

Locations

2230 Indiana Ave
Lubbock, TX 79410
Phone (806) 731-6016

2230 Indiana Ave
Ste 2
Lubbock, TX 79410
Phone (806) 791-3399

2230 Indiana Ave
Unit 2
Lubbock, TX 79410
Phone (806) 791-3399

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1780087114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21820 KINGSLAND BLVD",
            "address_2": "101B",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502508",
            "telephone_number": "806-202-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21820 KINGSLAND BLVD",
            "address_2": "101B",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502508",
            "telephone_number": "806-202-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "BRET",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.