Individual provider Active NPI

Gerard Holder, DO

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1104322338
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H0092616 Issued in MD
Practice address
200 N Wolfe St
Baltimore, MD 21287-0011
Phone
(410) 955-5000
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H0092616 MD Primary

Addresses

Primary practice location

200 N Wolfe St
Baltimore, MD 21287-0011

Mailing address

730 E 41St St
Baltimore, MD 21218-1214
Phone (256) 679-8371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220815000271 MD Practitioner - Osteopathic Manipulative MedicinePractitioner - Pediatric Medicine 6103174552 Reassigns benefits to 1 organization
I20220816000051 DC Practitioner - Osteopathic Manipulative Medicine 6103174552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Pediatric Medicine
Education
Alabama College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

1505 E Churchville Rd
Bel Air, MD 21014-4742

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0092616MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Jul 1, 2022 Accepting new patients
Unity Health Care, Inc. CurrentSince Jan 6, 2025 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Unity Health Care Inc. CurrentSince Jan 6, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Jul 1, 2022 Accepting new patients
MNR Industries LLC Past Accepting new patients

Locations

3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

Interoperability endpoints

  • Direct secure messaging: gerard.holder@uhci.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1104322338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E 41ST ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181214",
            "telephone_number": "256-679-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870011",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "GERARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0092616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.