Active NPI
Brian Gene Holcomb, DPM
- Foot & Ankle Surgery Podiatrist
- Jasper, GA
National Provider Identifier
1316042757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD000536
- Practice address
- 620 J L White Dr Ste 100
Jasper, GA 30143-4897 - Phone
- (706) 692-6980
- Fax
- (770) 889-9547
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD000536 | GA | Primary |
Addresses
Primary practice location
620 J L White Dr Ste 100
Jasper, GA 30143-4897
Mailing address
3444 Green Apple Rd
Gainesville, GA 30506-4121
Phone (770) 889-9596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD000536 | GA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1316042757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 GREEN APPLE RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305064121",
"telephone_number": "770-889-9596",
"fax_number": "770-889-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 J L WHITE DR STE 100",
"city": "JASPER",
"state": "GA",
"postal_code": "301434897",
"telephone_number": "706-692-6980",
"fax_number": "770-889-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "BRIAN",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD000536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, GA
- Highland Rivers Community Service Board
- Highland Rivers CSB (Highland Rivers Pickens County Office)
- Bret J Hintze, DPM
- Mary Hochkins
- Vanessa Hoeksema, PHARMD
- Holcomb's Foot & Leg Clinic of Cumming
- Mattie Elizabeth Hollar, CPNP-PC
- Kenny Holloway, O.D.
- Allison Millsap Holt, PA
- Home Medical Systems Inc (Pickens Medical Supply)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.