Individual provider Active NPI

Courtney Elizabeth Holbrooke, PA

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1467054692
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13296 Issued in TX
Practice address
7010 Champions Plaza Dr Ste 200
Houston, TX 77069-2393
Phone
(281) 890-4848
Fax
(281) 890-4885
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13296 TX Primary

Addresses

Primary practice location

7010 Champions Plaza Dr Ste 200
Houston, TX 77069-2393

Mailing address

6560 Fannin St Ste 620
Houston, TX 77030-2725
Phone (713) 791-1978

Other practice location 1

6560 Fannin St Ste 620
Houston, TX 77030-2725
Phone (713) 791-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824000513 CO Practitioner - Physician Assistant 0941605349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13296TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC Cardiovascular Disease CurrentSince Sep 27, 2021 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Sep 27, 2021 Accepting new patients

Locations

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1467054692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302725",
            "telephone_number": "713-791-1978",
            "fax_number": "281-890-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 CHAMPIONS PLAZA DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692393",
            "telephone_number": "281-890-4848",
            "fax_number": "281-890-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Fannin St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302725",
            "country_code": "US",
            "telephone_number": "713-791-1978",
            "fax_number": "281-890-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLBROOKE",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "13296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.