Healthcare Provider Details

I. General information

NPI: 1255202651
Provider Name (Legal Business Name): BRET HOFFMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88078 CAMBRIDGE AVE APT.2108
KANSAS CITY MO
64138
US

IV. Provider business mailing address

8807 CAMBRIDGE AVE APT 2108
KANSAS CITY MO
64138-5423
US

V. Phone/Fax

Practice location:
  • Phone: 760-946-6111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2025032282
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: