Active NPI
Bradley Jackson Holden, MD
- Neonatal-Perinatal Medicine Physician
- Oakland, CA
National Provider Identifier
1144230707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- G62352
- Practice address
- 1411 E 31St Street
Oak Care Med GRP
Oakland, CA 94602 - Phone
- (510) 437-4323
- Fax
- (510) 437-5042
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | G62352 | CA | Primary |
Addresses
Primary practice location
1411 E 31St Street
Oak Care Med GRP
Oakland, CA 94602
Mailing address
1411 East 31St Street
Oakcare Medical Group
Oakland, CA 94602
Phone (510) 437-4323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G623520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62352 | CA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1144230707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 EAST 31ST STREET",
"address_2": "OAKCARE MEDICAL GROUP",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94602",
"telephone_number": "510-437-4323",
"fax_number": "510-437-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 E 31ST STREET",
"address_2": "OAK CARE MED GRP",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94602",
"telephone_number": "510-437-4323",
"fax_number": "510-437-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "BRADLEY",
"middle_name": "JACKSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "G62352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G623520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.