David Reese Holbrooke, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G18811 Issued in CA

Practice address

120 Bulkley Ave
#405
Sausalito, CA 94965-3200

Phone

(415) 331-3883

Fax

(415) 331-8778

NPI assigned

Jul 20, 2011

Sex

Male

Sole proprietor

Yes

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 Medicine

State licenses

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1265720411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 SPRING ST",
            "address_2": "#112",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508058",
            "telephone_number": "415-331-3883",
            "fax_number": "415-331-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BULKLEY AVE",
            "address_2": "#405",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949653200",
            "telephone_number": "415-331-3883",
            "fax_number": "415-331-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOKE",
        "first_name": "DAVID",
        "middle_name": "REESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G18811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Heckman, MSW, ACSW
• Gary Keith Hermansen, NP
• Robert H Hines Jr., M.D
• Kristina Toujba Hirschfeld
• Kimberly Anne Hoffman, L.AC.
• Devatara J. Holman, MS, MA, LAC
• Cassandra Renee Howard, MSOT, OTR/L
• Tatiana Eloisa Huezo, FNP-C
• Edward Jay Hyman, PH.D.
• Jennifer Beth Jackson, L.AC.

• General Practice Physician in Sausalito, CA
• Providers in Sausalito, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.