Individual provider Active NPI

Cecil Todd Holbert, M.D.

  • Family Medicine Physician
  • Philippi, WV
National Provider Identifier
1003803891
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV20262 Issued in WV
Practice address
116 McClellan Rd
Philippi, WV 26416-8076
Phone
(304) 457-2800
Fax
(304) 457-4011
NPI assigned
Oct 5, 2005
Last updated
Jan 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WV20262 WV Primary

Addresses

Primary practice location

116 McClellan Rd
Philippi, WV 26416-8076

Mailing address

116 McClellan Rd
Philippi, WV 26416-8076
Phone (304) 457-2800

Other identifiers 2

IdentifierTypeStateIssuer
1003803891MedicaidWV
P00276759OtherWVRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000091 WV Practitioner - Family Practice 0749226421 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

116 McClellan Rd
Philippi, WV 26416-8076
Phone (304) 823-2800

2373 W Main St
Suite 102
Salem, WV 26426-7515
Phone (304) 782-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
WV20262WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc Family Medicine CurrentSince Jan 15, 2026 Accepting new patients
Belington Community Medical Services Association Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
United Physicians Care Inc Family Medicine CurrentSince Jan 15, 2026 Accepting new patients
United Hospital Center, Inc Past Accepting new patients
Belington Community Medical Services Association Past Accepting new patients

Locations

70 N Sturmer St
Belington, WV 26250
Phone (304) 823-2800

116 McClellan Rd
Philippi, WV 26416
Phone (304) 457-2800

3 Healthcare Dr
Philippi, WV 26416
Phone (304) 457-1522

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1003803891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MCCLELLAN RD",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264168076",
            "telephone_number": "304-457-2800",
            "fax_number": "304-457-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MCCLELLAN RD",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264168076",
            "telephone_number": "304-457-2800",
            "fax_number": "304-457-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "CECIL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV20262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003803891",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276759",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philippi, WV

Sources for this page

Verify at the official NPI Registry.