Brian Lee Hollibush, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME131290 Issued in FL

Practice address

777 Glades Rd RM 240
Boca Raton, FL 33431

Phone

(561) 297-3512

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD
• Florida Atlantic University

  • Gerontology Nurse Practitioner
  • Boca Raton, FL
  • NPI 1164591954
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1114058526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 NE 24TH ST",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648303",
            "telephone_number": "561-542-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD RM 240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-297-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Oak St",
            "address_2": "#1228",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222092751",
            "country_code": "US",
            "telephone_number": "703-524-3238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIBUSH",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistixx Health Services Inc
• Donna Sue Holland, M.D.
• Peter Jay Holland, MD
• Allison Marie Shein Holley, M.D.
• Veronique Holley, PTA
• Hollis Silverman, PA
• Kaitlyn Hollman
• Hollywood Foot & Ankle Center Inc
• Anouchka Coste Holt, D.O.
• Lyle Allen Holthus, SCHOOL PSYCHOLOGIST

• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.