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BRIAN HOFUNG MD PLLC NPI 1457585770


NPI Information

NPI: 1457585770
Provider Name: BRIAN HOFUNG, MD, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
602 N ROAN ST
SUITE #2
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 979-0466
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BRIAN HOFUNG, MD, PLLC is a clinic center in Johnson City, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRIAN HOFUNG, MD, PLLC NPI is 1457585770. The provider is registered as an organization entity type.

The provider's business location address is:

602 N ROAN ST
SUITE #2
JOHNSON CITY, TN
ZIP 37601-763
Phone: (423) 979-0466
Fax: (423) 979-0467

The provider's authorized official is Brian Christopher Hofung .
The authorized official title is Owner and has the following contact phone number (423) 979-0466.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 5/14/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterMD31830TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G94823MEDICARE UPINTENNESSEE
23841838MEDICAIDTENNESSEE

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: 4/28/2024

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