Organization Active NPI

Holistic Health Realities LLC

  • Gynecology Physician
  • Hobart, IN
National Provider Identifier
1134434731
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
036103826 Issued in IN
Legal business name
HOLISTIC HEALTH REALITIES LLC
Practice address
111 W 10TH St
Suite100
Hobart, IN 46342-5990
Phone
(219) 738-2742
Fax
(219) 942-0740
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Dr. Srbislav Brasovan, M.D.
Title
Owner
Phone
(219) 738-2742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 036103826 IN Primary

Addresses

Primary practice location

111 W 10TH St
Suite100
Hobart, IN 46342-5990

Mailing address

7903 E 97TH Ave
Crown Point, IN 46307-8599
Phone (219) 738-2742

National Provider Directory

National Provider Directory

Locations

1940 Momentum Pl
Chicago, IL 60689

5363 Commerce Blvd
Crown Point, IN 46307
Phone (219) 648-2037

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1134434731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 E 97TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078599",
            "telephone_number": "219-738-2742",
            "fax_number": "219-947-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 10TH ST",
            "address_2": "SUITE100",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463425990",
            "telephone_number": "219-738-2742",
            "fax_number": "219-942-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH REALITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "BRASOVAN",
        "authorized_official_first_name": "SRBISLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-738-2742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "036103826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.