Individual provider Active NPI

Grace Buchanan Holzman, M.D.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1366776031
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C8419 Issued in TX
Practice address
7112 Ed Bluestein Blvd
Ste. 155
Austin, TX 78723-2900
Phone
(512) 978-9300
Fax
(512) 978-9390
NPI assigned
Sep 28, 2009
Last updated
Sep 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C8419 TX Primary

Addresses

Primary practice location

7112 Ed Bluestein Blvd
Ste. 155
Austin, TX 78723-2900

Mailing address

15 Waller St
Austin, TX 78702-5240
Phone (512) 978-9074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000521 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1153576921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C8419TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Medical Group of Austin Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: grace.holzman.1@21024.direct.athenahealth.com

Organizations & group practices 1

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1366776031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALLER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025240",
            "telephone_number": "512-978-9074",
            "fax_number": "512-978-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD",
            "address_2": "STE. 155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232900",
            "telephone_number": "512-978-9300",
            "fax_number": "512-978-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZMAN",
        "first_name": "GRACE",
        "middle_name": "BUCHANAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "C8419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.