Individual provider Active NPI

Bernd Holler, MD

  • Neonatal-Perinatal Medicine Physician
  • Sylva, NC
National Provider Identifier
1215985098
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
L9248 Issued in TX
Practice address
98 Doctors Dr Ste 300
Sylva, NC 28779-4503
Phone
(828) 586-9642
Fax
(828) 586-9673
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X L9248 TX Primary

Addresses

Primary practice location

98 Doctors Dr Ste 300
Sylva, NC 28779-4503

Mailing address

98 Doctors Dr Ste 300
Sylva, NC 28779-4503
Phone (828) 586-9642

Other identifiers 1

IdentifierTypeStateIssuer
164554101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20201001001324 NC Practitioner - Pediatric Medicine 7214105246 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC Pediatrics CurrentSince Oct 1, 2020 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Oct 1, 2020 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

98 Doctors Dr
Ste 300
Sylva, NC 28779
Phone (828) 586-9641

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: bernd.holler.1@9865.direct.athenahealth.com

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1215985098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 DOCTORS DR STE 300",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287794503",
            "telephone_number": "828-586-9642",
            "fax_number": "828-586-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 DOCTORS DR STE 300",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287794503",
            "telephone_number": "828-586-9642",
            "fax_number": "828-586-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLER",
        "first_name": "BERND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "L9248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164554101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.