Brady Bruce Holstead

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

U4217 Issued in TX

Practice address

2401 S 31St St # Ms 01161B
Temple, TX 76508-0001

Phone

(254) 724-2364

NPI assigned

Mar 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Texas Tech University Health Science Center School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Homecare Home health agency, Tyler, TX, CCN 743197
• Choice Homecare Home health agency, Tyler, TX, CCN 458261
• Paradigm Homecare Home health agency, Tyler, TX, CCN 457833
• Enhabit Home Health Home health agency, Tyler, TX, CCN 459457
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• University of Texas Health Science Center at Tyler Hospital, Tyler, TX, CCN 450690
• Christus Mother Frances Hospital- Jacksonville Hospital, Jacksonville, TX, CCN 451319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bholstead317516@christushealth.direct-ci.net

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD

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

• Ahm Action Home Health, LP

  • Home Health Agency
  • Tyler, TX
  • NPI 1588644934
  Care Compare affiliation
• Integrity Family Home Care LLC

  • Home Health Agency
  • Tyler, TX
  • NPI 1699009803
  Care Compare affiliation
• LHCG Cxii, LLC

  • Home Health Agency
  • Tyler, TX
  • NPI 1669994471
  Care Compare affiliation
• Mother Frances Hospital Jacksonville

  • Critical Access Hospital
  • Jacksonville, TX
  • NPI 1952306672
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation
• Paradigm Rehab & Nursing, LLC

  • Home Health Agency
  • Tyler, TX
  • NPI 1376540047
  Care Compare affiliation
• University of Texas Health Science Center at Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1417941295
  Care Compare affiliation

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1568099422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST # MS 01161B",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST # MS 01161B",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028307",
            "country_code": "US",
            "telephone_number": "903-606-1721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8934 S Broadway Ave Ste 448",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035475",
            "country_code": "US",
            "telephone_number": "903-606-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLSTEAD",
        "first_name": "BRADY",
        "middle_name": "BRUCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U4217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lea Hollon, AGACNP
• Diana Lopez Holloway-Tubb, PHYSICAL THERAPIST
• Shirley Holloway
• Ariane Virginia Hollub, OTR
• Justin Wayne Holmes, M.D.
• Lyndsay Taylor Holt
• Serra Elizabeth Holthaus, PHARMD
• Joy Honeycutt, RN
• Yoobin Hong
• Ruth M Hood, LMSW

• Internal Medicine Physician in Temple, TX
• Providers in Temple, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.