Organization Active NPI

Brant Holbrook, Lsa, PLLC

  • Surgical Technologist
  • Austin, TX
National Provider Identifier
1104172832
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
SA00042 Issued in TX
Legal business name
BRANT HOLBROOK, LSA, PLLC
Practice address
1822 W Braker LN #81603
Austin, TX 78758-3606
Phone
(512) 973-9222
Fax
(512) 777-4527
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Leslie Brant Holbrook, LSA
Title
Owner
Phone
(512) 973-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X SA00042 TX Primary

Addresses

Primary practice location

1822 W Braker LN #81603
Austin, TX 78758-3606

Mailing address

1822 W Braker LN #81603
Austin, TX 78758-3606
Phone (512) 973-9222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1104172832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 W BRAKER LN #81603",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583606",
            "telephone_number": "512-973-9222",
            "fax_number": "512-777-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 W BRAKER LN #81603",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583606",
            "telephone_number": "512-973-9222",
            "fax_number": "512-777-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANT HOLBROOK, LSA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "BRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-973-9222",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.