Individual provider Active NPI

Larry Benson Holder, MD

  • Obstetrics & Gynecology Physician
  • Murphy, NC
National Provider Identifier
1205864238
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28214 Issued in NC
Practice address
75 Medical Park LN
Suite D
Murphy, NC 28906-6663
Phone
(828) 837-1332
Fax
(828) 837-0681
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28214 NC Primary

Addresses

Primary practice location

75 Medical Park LN
Suite D
Murphy, NC 28906-6663

Mailing address

75 Medical Park LN
Suite D
Murphy, NC 28906-6673
Phone (828) 837-1332

Other identifiers 1

IdentifierTypeStateIssuer
8943041MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Medical Center Inc Current Accepting new patients
Murphy Medical Center, Inc. Obstetrics & Gynecology CurrentSince Oct 15, 2007 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Oct 15, 2007 Accepting new patients
Fort Sanders Perinatal Center PastSince Nov 23, 2021 Accepting new patients

Locations

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

Organizations & group practices 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1205864238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MEDICAL PARK LN",
            "address_2": "SUITE D",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066673",
            "telephone_number": "828-837-1332",
            "fax_number": "828-837-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MEDICAL PARK LN",
            "address_2": "SUITE D",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066663",
            "telephone_number": "828-837-1332",
            "fax_number": "828-837-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "LARRY",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "28214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8943041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.