Individual provider Active NPI

Donna Halloran Hilderbrand, MD

  • Pediatrics Physician
  • Palestine, TX
National Provider Identifier
1003826520
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R9221 Issued in TX
Practice address
4726 An County Road 486
Palestine, TX 75803-0132
Phone
(295) 613-1224
NPI assigned
Aug 8, 2006
Last updated
Jan 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R9221 TX Primary

Addresses

Primary practice location

4726 An County Road 486
Palestine, TX 75803-0132

Mailing address

4726 An County Road 486
Palestine, TX 75803-0132
Phone (295) 613-1224

Other names 1

  • Donna R Halloran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050715000421 MO Practitioner - Pediatric Medicine 3577599042 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9221TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Oct 1, 2015 Accepting new patients
SSM Health Care St. Louis CurrentSince Oct 1, 2015 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1003826520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 AN COUNTY ROAD 486",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758030132",
            "telephone_number": "295-613-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 AN COUNTY ROAD 486",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758030132",
            "telephone_number": "295-613-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDERBRAND",
        "first_name": "DONNA",
        "middle_name": "HALLORAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R9221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HALLORAN",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.