Individual provider Active NPI

Brian Holland

  • Driver
  • Virginia Beach, VA
National Provider Identifier
1023543139
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
T62143208 Issued in VA
Practice address
2301 Kenstock Dr Ste 201
Virginia Beach, VA 23454-3304
Phone
(757) 321-6078
Fax
(757) 962-9112
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X T62143208 VA Primary

Addresses

Primary practice location

2301 Kenstock Dr Ste 201
Virginia Beach, VA 23454-3304

Mailing address

2301 Kenstock Dr Ste 201
Virginia Beach, VA 23454-3304
Phone (757) 321-6078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T62143208VAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
J and H Service LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1023543139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 KENSTOCK DR STE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543304",
            "telephone_number": "757-321-6078",
            "fax_number": "757-962-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 KENSTOCK DR STE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543304",
            "telephone_number": "757-321-6078",
            "fax_number": "757-962-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T62143208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.