Active NPI
Brooks Holifield, DC
- Neurology Chiropractor
- Kingsville, TX
National Provider Identifier
1043320286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 7230
- Practice address
- 830 E Caesar Ave
Kingsville, TX 78363-6363 - Phone
- (361) 592-6557
- Fax
- (361) 592-0064
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 7230 | TX | Primary |
| Neurology Chiropractor | 111NN0400X | 1268 | AR |
Addresses
Primary practice location
830 E Caesar Ave
Kingsville, TX 78363-6363
Mailing address
PO Box 1214
Kingsville, TX 78364-1214
Phone (361) 592-6557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1789216-01 | Medicaid | TX | |
| 606274 | Other | TX | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1268 | AR | MD | Neurology Chiropractor |
| 7230 | TX | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043320286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1214",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783641214",
"telephone_number": "361-592-6557",
"fax_number": "361-592-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 E CAESAR AVE",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783636363",
"telephone_number": "361-592-6557",
"fax_number": "361-592-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIFIELD",
"first_name": "BROOKS",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TX",
"license": "7230",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "AR",
"license": "1268",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1789216-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "606274",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.