Active NPI
Marc L Holbrook, MD
- Emergency Medicine Physician
- Danville, KY
National Provider Identifier
1649201252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18602
- Practice address
- 217 S 3Rd St
Danville, KY 40422-1823 - Phone
- (859) 621-0763
- Fax
- (859) 263-7441
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18602 | KY | Primary |
Addresses
Primary practice location
217 S 3Rd St
Danville, KY 40422-1823
Mailing address
3490 Vince Rd
Nicholasville, KY 40356-8830
Phone (859) 621-0763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64-186026 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18602 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Emergency Services Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649201252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 VINCE RD",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568830",
"telephone_number": "859-621-0763",
"fax_number": "859-263-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 S 3RD ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221823",
"telephone_number": "859-621-0763",
"fax_number": "859-263-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "MARC",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "18602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64-186026",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, KY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.