Individual provider Active NPI

Gilbert Richard Holland, M.D.

  • Specialist
  • Andalusia, AL
National Provider Identifier
1487655148
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10400 Issued in AL
Practice address
848 S Three Notch St
Andalusia, AL 36420-5320
Phone
(334) 427-3034
Fax
(334) 427-3949
NPI assigned
Aug 3, 2005
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10400 AL Primary

Addresses

Primary practice location

848 S Three Notch St
Andalusia, AL 36420-5320

Mailing address

PO Box 820
Andalusia, AL 36420-1216
Phone (334) 427-3034

Other identifiers 1

IdentifierTypeStateIssuer
1033314414OtherALORGANIZATION NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120820000286 AL Practitioner - Orthopedic Surgery 2961478920 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10400ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Covington Bone & Joint PC Specialist CurrentSince Nov 3, 1995 Accepting new patients
Rmcca Clinic B, LLC CurrentSince Feb 6, 2024 Accepting new patients
LV Stabler Primary Care LLC CurrentSince Jul 1, 2018 Accepting new patients
Stabler Clinic, P.C. Past Accepting new patients

Locations

848 S Three Notch St
Andalusia, AL 36420
Phone (334) 426-3034

300 N College St
Greenville, AL 36037
Phone (334) 382-2681

Interoperability endpoints

  • Direct secure messaging: gilbert_holland_-_md@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/1605/brand/1/csg/26/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/5021/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1487655148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201216",
            "telephone_number": "334-427-3034",
            "fax_number": "334-427-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205320",
            "telephone_number": "334-427-3034",
            "fax_number": "334-427-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "GILBERT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "10400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1033314414",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.