Matthew Braxton Hollowell, RT(R)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

9896 Issued in LA

Practice address

510 E Stoner Ave
Shreveport, LA 71101-4243

Phone

(318) 990-6640

NPI assigned

Oct 4, 2022

Last updated

Sep 19, 2024By 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

State licenses

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1679298418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 HOLLYHOCK LN",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124922",
            "telephone_number": "318-347-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-990-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWELL",
        "first_name": "MATTHEW",
        "middle_name": "BRAXTON",
        "credential": "RT(R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "LA",
            "license": "9896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Hollis
• Anne M Hollister, M.D.
• Holliway Medical Clinic LLC
• Brondwyn Holliway, M.D.
• Linda Holloway, CCC-SLP
• Holly D. Casey, MD, a Professional Medical Corp
• Holly D. Casey, MD. a Professional Medical Corp.
• Latasha Nicole Holly, M.A.
• Hollywood Health Service
• Ronald Edward Holman, M.D.

• Radiologic Technologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Radiologic Technologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.