Individual provider Active NPI

Bartley J Holmes, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
National Provider Identifier
1679711345
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1019213 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1019213 TX Primary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019328 OH

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (201) 358-0572

Other practice location 1

4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone (937) 257-1843

Other practice location 2

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210119000836 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800059494 Reassigns benefits to 4 organizations
I20251211002483 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800059494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2015

830 Rockford St
Mount Airy, NC 27030-5322
Phone (336) 719-7000

Hospital & facility affiliations

  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
8082NCMDProfessional Counselor
APRN.CRNA.019328OHMDCertified Registered Nurse Anesthetist
1019213TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Schertz Anesthesia LLC CurrentSince Dec 2, 2020 Accepting new patients
Lone Star Anesthesia Partners PLLC CurrentSince Oct 27, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 26, 2025 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Community Medicine Associates CurrentSince Mar 5, 2024 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Eye 35 ASC. LLC Past Accepting new patients

Locations

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

12850 Toepperwein Rd
Live Oak, TX 78233
Phone 2106141234713

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

855 Proton Rd
San Antonio, TX 78258
Phone (210) 582-8000

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1679711345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST # MS 49-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "201-358-0572",
            "fax_number": "210-358-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Wpafb",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-1843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-539-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BARTLEY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1019213",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.