Individual provider Active NPI

Brandon K Holloway, DPM

  • Foot & Ankle Surgery Podiatrist
  • Amarillo, TX
National Provider Identifier
1457647653
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
T44-2011 Issued in TX
Practice address
5109 Lexington SQ Ste 200
Amarillo, TX 79119-6516
Phone
(806) 322-3338
Fax
(806) 322-7653
NPI assigned
Jun 26, 2011
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X T44-2011 TX Primary

Addresses

Primary practice location

5109 Lexington SQ Ste 200
Amarillo, TX 79119-6516

Mailing address

5109 Lexington SQ Ste 200
Amarillo, TX 79119-6516
Phone (806) 322-3338

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122000938 TX Practitioner - Podiatry 8224352208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Foot Specialists PLLCGroup PAC ID 1052635034, 3 clinicians

Practice addresses (Care Compare)

5109 Lexington SQ
Suite 200
Amarillo, TX 79119-6506

5109 Lexington SQ
Suite 200
Amarillo, TX 79119-6578
Phone (806) 322-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.47 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue262
Removal of skin lesions1-10
Removal of nail tissue60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2113TXMDMarriage & Family Therapist
T44-2011TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Foot Specialists, PLLC CurrentSince Aug 20, 2014 Accepting new patients

Locations

1901 Medi Park Dr
Ste 1054
Amarillo, TX 79106
Phone (806) 322-3338

5109 Lexington Sq
Ste 200
Amarillo, TX 79119
Phone (806) 322-3338

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1457647653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 LEXINGTON SQ STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196516",
            "telephone_number": "806-322-3338",
            "fax_number": "806-322-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 LEXINGTON SQ STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196516",
            "telephone_number": "806-322-3338",
            "fax_number": "806-322-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "BRANDON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-26",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T44-2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.