DR. CHARLES RUSSELL HOFFMAN M.D. NPI 1114911039

NPI Information

  • NPI: 1114911039
  • Provider Name: DR. CHARLES RUSSELL HOFFMAN, M.D.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • Address: 4003 KRESGE WAY
    SUITE 400
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 895-4263

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NPI Details

DR. Charles Russell Hoffman, M.D. is an endocrinology and diabetes and metabolism internal medicine in Louisville, KY. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Charles Russell Hoffman, M.D. NPI is 1114911039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4003 KRESGE WAY
SUITE 400
LOUISVILLE, KY
ZIP 40207-652
Phone: (502) 895-4263
Fax: (502) 899-5488

The enumeration date for this NPI number is 9/7/2005 and was last updated on 8/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism20669KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D32275MEDICARE UPINKENTUCKY
250005575MEDICAIDKENTUCKY
31114911039MEDICARE PINKENTUCKY
4000000047114OTHERKENTUCKYANTHEM BLUE PLANS
564206691MEDICAIDKENTUCKY
61114911039OTHERKENTUCKYRAILROAD MEDICARE
76109684127212OTHERKENTUCKYANTHEM SENIOR ADVANTAGE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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