Healthcare Provider Details

I. General information

NPI: 1154360071
Provider Name (Legal Business Name): BRIAN HOYT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 G ST
SPRINGFIELD OR
97477-4112
US

IV. Provider business mailing address

PO BOX 11510
WESTMINSTER CA
92685-1510
US

V. Phone/Fax

Practice location:
  • Phone: 541-726-4510
  • Fax: 541-747-9764
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD00037182
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD20885
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: