Brad Holifield, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

1890-80 Issued in MS

Practice address

3221 Audubon Dr
Laurel, MS 39440-1422

Phone

(601) 649-3900

Fax

(601) 264-2723

NPI assigned

May 30, 2016

Last updated

May 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Brad Holifield, D.M.D., P.a.

  • Periodontics
  • Laurel, MS
  • NPI 1780764902
  Authorized official Same address or phone

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1548618622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401422",
            "telephone_number": "601-649-3900",
            "fax_number": "601-264-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401422",
            "telephone_number": "601-649-3900",
            "fax_number": "601-264-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIFIELD",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "1890-80",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "PER-201-87",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Johnson Hinton, FNP
• Gary Hodge II, MD
• Lori Hodges, CPSS
• Amy Elizabeth Hodgson, ED.S., LPC-S, NCC
• Ivey Holder
• Joshua M. Holifield, D.O.
• Shelley L Holifield, DMD
• Tamatha Holland, MS, SLP-CCC
• Charles Aaron Hollingshead, MD
• Deborah S. Hollingshead, C.F.N.P.

• Dentist in Laurel, MS
• Providers in Laurel, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.