Physician Compare National (NPI:1609805456)

HEALTHCARE PROVIDER: BYRON DAVID KION HOFFMAN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609805456
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274660352
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100421000522
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOFFMAN
	Individual professional last name
Provider First Name	BYRON
	Individual professional first name
Provider Middle Name	DAVID KION
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DEER RIVER HEALTHCARE CENTER INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1850388448
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9 BIRCH ST NE
	Group Practice or individual's line 1 address
City	REMER
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	566724469
	Group Practice or individual's zip code (9 digits when available)
Phone Number	21856614410
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	241360
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DEER RIVER HEALTHCARE CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y