Charles R Holbrook III, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MDR3J63 Issued in MO

Practice address

4501 College Boulevard, Suite 300
Leawood, KS 66211

Phone

(913) 451-4776

Fax

(913) 451-4770

NPI assigned

Jul 20, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 29, 2010 through Mar 29, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.holbrook@1658951499780.direct.elationemr.com

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.

• Pro Partners Healthcare PA

  dba Pro Partners MD

  • General Practice Physician
  • Leawood, KS
  • NPI 1619254331
  NPD (past)
• Carondelet Emergency Physicians Inc

  • Emergency Medicine Physician
  • Kansas City, MO
  • NPI 1558363838
  NPD (past)
• Hyperbaric Oxygen of Kansas City Inc.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kansas City, MO
  • NPI 1053401539
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568461556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 COLLEGE BOULEVARD, SUITE 300",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-451-4776",
            "fax_number": "913-451-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 COLLEGE BOULEVARD, SUITE 300",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-451-4776",
            "fax_number": "913-451-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "MDR3J63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith R Hodge, M.D.
• Henry Hoffman, DDS
• Kennedy Elayle Hoffman, OTD, OTR/L
• Kurt W. Hoffman, DDS
• Dennis Hogenkamp, CRNA
• Lorrie Ann Holland, APRN
• Preston Hollenbeck, DPT
• Holly Fritch Kirby, M.D., L.L.C.
• Matthew John Holman, D.C
• Jennifer Holmes, REGISTERED BEHAVIOR

• Emergency Medicine Physician in Leawood, KS
• Providers in Leawood, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.