J Melburn D Holmes

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

J MELBURN D HOLMES

Practice address

32 Medical Dr
Ste 7
Roanoke, AL 36274-2421

Phone

(334) 863-5262

Fax

(334) 863-5264

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

John M Holmes, MD

Title

Owner

Phone

(334) 863-5262

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1326220591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362740665",
            "telephone_number": "334-863-5262",
            "fax_number": "334-863-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MEDICAL DR",
            "address_2": "STE 7",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742421",
            "telephone_number": "334-863-5262",
            "fax_number": "334-863-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MELBURN D HOLMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-863-5262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529922930",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Roanoke, AL
• Providers in Roanoke, AL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.