Individual provider Active NPI

John L Holbrook, M.D.

  • Orthopaedic Surgery Physician
  • Johnson City, TN
National Provider Identifier
1255301644
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18713 Issued in TN
Practice address
3 Professional Park Dr
Suite 21
Johnson City, TN 37604-6529
Phone
(423) 434-6300
Fax
(423) 434-6312
NPI assigned
Jan 26, 2006
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 18713 TN Primary

Addresses

Primary practice location

3 Professional Park Dr
Suite 21
Johnson City, TN 37604-6529

Mailing address

3 Professional Park Dr
Suite 21
Johnson City, TN 37604-6529
Phone (423) 434-6300

Other identifiers 2

IdentifierTypeStateIssuer
3043199MedicaidTN
5903976MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100805001118 TN Practitioner - Orthopedic Surgery 7911964614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians

Practice addresses (Care Compare)

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

3 Professional Park Dr
Johnson City, TN 37604-6529
Phone (423) 434-6300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18713TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic, PC Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Appalachian Orthopaedic Associates P C Orthopaedic Surgery CurrentSince Jul 1, 2000 Accepting new patients
Campbell Clinic PC CurrentSince Jun 1, 2025 Accepting new patients
Appalachian Orthopaedic Associates P C Orthopaedic Surgery CurrentSince Jul 1, 2000 Accepting new patients
Appalachian Orthopaedic Associates P C Orthopaedic Surgery Past Accepting new patients
Campbell Clinic Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161

105 Meadow View Rd
Ste 4
Bristol, TN 37620
Phone (423) 844-6935

260 Midway Medical Park
Ste 100
Bristol, TN 37620
Phone (423) 968-4446

1500 W Elk Ave
Ste 102
Elizabethton, TN 37643
Phone (423) 282-5054

3 Professional Park Dr
Ste 10
Johnson City, TN 37604
Phone (423) 926-4331

3 Professional Park Dr
Ste 21
Johnson City, TN 37604
Phone (423) 405-0153

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

16000 Johnston Memorial Dr
Ste 100
Abingdon, VA 24211
Phone (276) 258-1760

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.holbrook.1@1054.direct.athenahealth.com
  • Direct secure messaging: john.holbrook.1@1366.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1255301644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR",
            "address_2": "SUITE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-434-6300",
            "fax_number": "423-434-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR",
            "address_2": "SUITE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-434-6300",
            "fax_number": "423-434-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "18713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043199",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903976",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.