Organization Active NPI

Mary Brantley Holmes MSN WHNP-BC LLC

  • Primary Care Clinic/Center
  • Richmond, VA
National Provider Identifier
1013689462
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARY BRANTLEY HOLMES MSN WHNP-BC LLC
Practice address
8955 Wishart Rd
Richmond, VA 23229-7158
Phone
(804) 928-5596
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Mrs. Mary Brantley Holmes, NP
Title
Manager
Phone
(804) 928-5596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8955 Wishart Rd
Richmond, VA 23229-7158

Mailing address

8955 Wishart Rd
Richmond, VA 23229-7158
Phone (804) 928-5596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211210000003 VA Part B Supplier - Clinic/Group Practice 3870983661 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

5311 Patterson Ave
Ste A
Richmond, VA 23226
Phone (804) 916-5096

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1013689462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 WISHART RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232297158",
            "telephone_number": "804-928-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 WISHART RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232297158",
            "telephone_number": "804-928-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BRANTLEY HOLMES MSN WHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MARY BRANTLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-928-5596",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.