Individual provider Active NPI

Christina Grey Holbrooks

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1013546183
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U6972 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-1244
NPI assigned
Apr 2, 2020
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X U6972 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241018000399 NE Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3779015490 Reassigns benefits to 2 organizations
I20241105001965 TX Practitioner - Emergency Medicine 3779015490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

Practice addresses (Care Compare)

2091 Box Butte Ave
Alliance, NE 69301-4458
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Box Butte General Hospital CurrentSince Sep 1, 2024 Accepting new patients
Box Butte General Hospital CurrentSince Sep 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 26, 2024 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital Current Accepting new patients

Locations

2091 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

Organizations & group practices 5

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 5

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1013546183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOKS",
        "first_name": "CHRISTINA",
        "middle_name": "GREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U6972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.