Nathan Brent Holladay, M.D., PH.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9651064-1205 Issued in UT

Practice address

865 E 4800 S Ste 160
Murray, UT 84107-5507

Phone

(385) 251-6028

Fax

(801) 262-1844

NPI assigned

Jun 13, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nathan B Holladay MD PHD PLLC

  • Medical Specialty Clinic/Center
  • Murray, UT
  • NPI 1255886990
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1447454368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E 4800 S STE 160",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075507",
            "telephone_number": "385-251-6028",
            "fax_number": "801-262-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 4800 S STE 160",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075507",
            "telephone_number": "385-251-6028",
            "fax_number": "801-262-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "NATHAN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "9651064-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "175867",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS (UT)",
            "identifier": "100001392794",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Hicken Holden, RD
• Austin Bud Holder, COTA/L
• Holistic Balance
• Holistic Elements
• Christi A Holker
• Nicole Holland, RDN, RD, CD, MSAN
• Tracy Lynn Holley, PA-C
• Marcus Hollinger
• Chelsi Eliza Hollingshead, APRN, PSYCHIATRIC/ME
• Sueann Holloway

• Internal Medicine Physician in Murray, UT
• Providers in Murray, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.