Organization Active NPI

Holcomb Pediatrics and Sports Medicine

  • Pediatrics Physician
  • Boerne, TX
National Provider Identifier
1285779868
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L6945 Issued in TX
Legal business name
HOLCOMB PEDIATRICS AND SPORTS MEDICINE
Practice address
134 Menger SPGS
1240
Boerne, TX 78006-7218
Phone
(830) 816-5437
Fax
(830) 331-9438
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Richard Allen Holcomb, MDNPI 1639222664
Title
Owner
Phone
(210) 681-3343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X L6945 TX Primary
Pediatric Sports Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080S0010X L6945 TX

Addresses

Primary practice location

134 Menger SPGS
1240
Boerne, TX 78006-7218

Mailing address

134 Menger SPGS
1240
Boerne, TX 78006-7218
Phone (830) 816-5437

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1069675Holcomb Pediatrics and Sports Medicine134 Menger Springs #1240, Boerne, TX 78006Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

134 Menger Spgs
Ste 1240
Boerne, TX 78006
Phone (210) 920-4558

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1285779868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MENGER SPGS",
            "address_2": "1240",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067218",
            "telephone_number": "830-816-5437",
            "fax_number": "830-331-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MENGER SPGS",
            "address_2": "1240",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067218",
            "telephone_number": "830-816-5437",
            "fax_number": "830-331-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLCOMB PEDIATRICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-681-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6945",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": "TX",
            "license": "L6945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.