Thomas Benjamin Holman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2025015607 Issued in MO

Practice address

680 Bellerive Estates Dr
Saint Louis, MO 63141-6229

Phone

(512) 844-4971

NPI assigned

Aug 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1023840485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BELLERIVE ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416229",
            "telephone_number": "512-844-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BELLERIVE ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416229",
            "telephone_number": "512-844-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Highway 161",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633342431",
            "country_code": "US",
            "telephone_number": "573-324-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "THOMAS",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025015607",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "111186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Edward Holloway, MD
• Kathleen Hollowood, CRNA
• Lori Anne Hollrah, OTRL
• Holly Hills Retirement Home
• Cameo Holly
• Timothy Samuel Holman, PHARM.D.
• Victoria Holman, RN,ANP
• Anthony Holmes
• Briahna Holmes, L.M.T
• Christina Marie Holmes, LPC

• Physician Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.