Individual provider Active NPI

Bob M Hollander, D.C.

  • Chiropractor
  • Odessa, TX
National Provider Identifier
1255362554
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2985 Issued in TX
Practice address
3710 Blossom LN
Odessa, TX 79762-6965
Phone
(432) 349-3891
Fax
(214) 242-6712
NPI assigned
Jul 5, 2006
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2985 TX Primary

Addresses

Primary practice location

3710 Blossom LN
Odessa, TX 79762-6965

Mailing address

3710 Blossom LN
Odessa, TX 79762-6965
Phone (432) 349-3891

Other identifiers 2

IdentifierTypeStateIssuer
8X6921OtherTXBCBS PROVIDER I.D. ROCT
407368AW8KOtherTXMEDICARE

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

State licenses

LicenseStateTypeSpecialty
2985TXMDChiropractor
115NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Mal Hollander, D.C. P.C. Chiropractor PastSince Feb 1, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1255362554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 BLOSSOM LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626965",
            "telephone_number": "432-349-3891",
            "fax_number": "214-242-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 BLOSSOM LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626965",
            "telephone_number": "432-349-3891",
            "fax_number": "214-242-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "BOB",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER I.D. ROCT",
            "identifier": "8X6921",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "407368AW8K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.