Active NPI
Holeyfield Health Systems PC
- Internal Medicine Physician
- Bellevue, NE
National Provider Identifier
1669671087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15518
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7463 | Other | BCBS | |
| 47063291413 | Medicaid | NE |
Other names 1
- Holeyfield Clinic
National Provider Directory
National Provider DirectoryLocations
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.