Provider Demographics
NPI:1023079001
Name:HOFFMAN, BYRON J JR (MD)
Entity type:Individual
Prefix:DR
First Name:BYRON
Middle Name:J
Last Name:HOFFMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:163 MEDICAL PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-6790
Practice Address - Country:US
Practice Address - Phone:919-742-6032
Practice Address - Fax:919-633-3018
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23560207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC42792OtherBCBS
NC8942792Medicaid
407073350OtherRAILROAD RETIRE
0453975OtherUNITED HEALTHCARE
0453975OtherUNITED HEALTHCARE
NC202188AMedicare ID - Type Unspecified