Organization Active NPI

Holeyfield Health Systems PC

  • Internal Medicine Physician
  • Bellevue, NE
National Provider Identifier
1669671087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15518 Issued in NE
Legal business name
HOLEYFIELD HEALTH SYSTEMS PC
Practice address
10135 S 25TH St
A
Bellevue, NE 68123
Phone
(402) 292-3987
Fax
(402) 292-4034
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roy W Holeyfield, MD
Title
President
Phone
(402) 292-3987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 15518 NE Primary

Addresses

Primary practice location

10135 S 25TH St
A
Bellevue, NE 68123

Mailing address

10135 S 25TH St
A
Bellevue, NE 68123
Phone (402) 292-3987

Other identifiers 2

IdentifierTypeStateIssuer
7463OtherBCBS
47063291413MedicaidNE

Other names 1

  • Holeyfield Clinic Other name

National Provider Directory

National Provider Directory

Locations

10135 S 25th St
Ste A
Bellevue, NE 68123
Phone (402) 292-3987

12713 S 28th Ave
Bellevue, NE 68123
Phone (402) 292-3987

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669671087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 S 25TH ST",
            "address_2": "A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68123",
            "telephone_number": "402-292-3987",
            "fax_number": "402-292-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 S 25TH ST",
            "address_2": "A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68123",
            "telephone_number": "402-292-3987",
            "fax_number": "402-292-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLEYFIELD HEALTH SYSTEMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLEYFIELD",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-292-3987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "15518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7463",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47063291413",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holeyfield Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.