Brandon Charles Holda

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

43401 N. Jefferson BLDG #825
Selfridge Angb, MI 48045

Phone

(586) 307-5017

Fax

(586) 307-5010

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By 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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Uscg Clinic Sector Detroit

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Selfridge Angb, MI
  • NPI 1477620755
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1629241559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43401 N. JEFFERSON BLDG #825",
            "city": "SELFRIDGE ANGB",
            "state": "MI",
            "postal_code": "48045",
            "telephone_number": "586-307-5017",
            "fax_number": "586-307-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43401 N. JEFFERSON BLDG #825",
            "city": "SELFRIDGE ANGB",
            "state": "MI",
            "postal_code": "48045",
            "telephone_number": "586-307-5017",
            "fax_number": "586-307-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDA",
        "first_name": "BRANDON",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Jujuan Davis, R.D.H.
• Isabelle R Doherty
• Andrea Lindsay Hodges, LLMSW
• Diana Lee Kott, RDH
• Dana Marie Kubinski, RDH
• Moriah, Incorporated
• Uscg Clinic Sector Detroit

• Other Technician in Selfridge Angb, MI
• Providers in Selfridge Angb, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.