Brian James Holtebeck, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

12937-040 Issued in WI

Practice address

Zablocki Department of Veterans Affairs Medical Ctr
5000 West National Avenue
Milwaukee, WI 53295-0001

Phone

(414) 384-2000

Fax

(414) 389-4276

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144249038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 BURLAWN PKWY",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530051919",
            "telephone_number": "414-687-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ZABLOCKI DEPARTMENT OF VETERANS AFFAIRS MEDICAL CTR",
            "address_2": "5000 WEST NATIONAL AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532950001",
            "telephone_number": "414-384-2000",
            "fax_number": "414-389-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTEBECK",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12937-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanni L Holt
• Jason Holt
• Michael R Holt, MD
• Morgan Holt
• Andy Holtebeck, PT
• Stephanie Holter, MSW
• Holton Street Clinic, Inc.
• Christina Holton, NP
• Vicki Lynn Holton, MS, CCC-SCP
• Lauren Elizabeth Holub

• Pharmacist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.