Healthcare Provider Details

I. General information

NPI: 1487306353
Provider Name (Legal Business Name): BRANDON MILES HOFF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2022
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE LAKESIDE 1500
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

11100 EUCLID AVE LAKESIDE 1500
CLEVELAND OH
44106-1716
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3936
  • Fax: 216-844-7497
Mailing address:
  • Phone: 216-844-3936
  • Fax: 216-844-7497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number34.016763
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.016763
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: