NPIMap

Individual provider Active NPI

Benjamin Brindley Holmes, MD

  • Clinical Cardiac Electrophysiology Physician
  • Cordova, TN
National Provider Identifier
1093072654
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
51557 Issued in TN
Practice address
57 Germantown CT
Cordova, TN 38018-7273
Phone
(901) 435-8550
Fax
(901) 478-0781
NPI assigned
Apr 19, 2012
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 83980 SC
Clinical Cardiac Electrophysiology Physician 207RC0001X 34330 MS
Clinical Cardiac Electrophysiology Physician 207RC0001X 51557 TN Primary

Addresses

Primary practice location

57 Germantown CT
Cordova, TN 38018-7273

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

4240 Bethel Rd Ste 201
Olive Branch, MS 38654-8737
Phone (901) 763-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bholmes291057@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, MS3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200806002697 SC Practitioner - Cardiac Electrophysiology 1355766460
I20241029004300 TN Practitioner - Cardiac Electrophysiology 1355766460 Reassigns benefits to 1 organization
I20241117000093 MS Practitioner - Cardiac Electrophysiology 1355766460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Practice addresses (Care Compare)

57 Germantown CT
Suite 100
Cordova, TN 38018-4274
Phone (901) 435-8550

7460 Wolf River Blvd
Germantown, TN 38138-1760
Phone (901) 763-0200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34330MSMDClinical Cardiac Electrophysiology Physician
83980SCMDClinical Cardiac Electrophysiology Physician
51557TNMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physician Group LLC Clinical Cardiac Electrophysiology CurrentSince Oct 5, 2024 Accepting new patients
Ut Methodist Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Methodist Healthcare - Olive Branch Hospital Past Accepting new patients

Locations

4240 Bethel Rd
Ste 200
Olive Branch, MS 38654
Phone (901) 758-7970

4240 Bethel Rd
Ste 201
Olive Branch, MS 38654

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

57 Germantown Ct
Ste 100
Cordova, TN 38018
Phone (901) 435-8550

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: bholmes291057@direct.ghs.myhfn.org

Organizations & group practices 3

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 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1093072654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 GERMANTOWN CT",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187273",
            "telephone_number": "901-435-8550",
            "fax_number": "901-478-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4240 Bethel Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386548737",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BENJAMIN",
        "middle_name": "BRINDLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "83980",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MS",
            "license": "34330",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "51557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bholmes291057@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bholmes291057@direct.ghs.myhfn.org",
            "address_1": "1005 Grove Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.