Justin Holub, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4225 Pendleton Dr Apt 5302
Bryan, TX 77802-2679

Phone

(713) 254-9148

NPI assigned

Sep 13, 2023

Last updated

Sep 13, 2023By 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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brazos Valley Physicians AllianceGroup PAC ID 1052604006, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Centre,the Hospital, Bryan, TX, CCN 450834
• Bellville Medical Center Hospital, Bellville, TX, CCN 450253
• Grimes St Joseph Health Center Hospital, Navasota, TX, CCN 451322
• Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088

Merit-based Incentive Payment System (MIPS)

Final score

79.62 of 100Reported as group

Quality

58.26

Promoting interoperability

97

Improvement activities

40

Cost

76.3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jholub1268868@direct.sw.org
• Direct secure messaging: justin.holub.1@25466.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brazos Valley Physicians Alliance

  dba Central Texas Sports Medicine & Orthopaedics

  • Surgery Physician
  • Bryan, TX
  • NPI 1326495508
  Medicare reassignment Care Compare group
• Brazos Valley Physicians Alliance

  dba Central Texas Sports Medicine & Orthopaedics

  • Orthopaedic Surgery Physician
  • Bryan, TX
  • NPI 1609493543
  NPD

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

• Bellville Medical Center

  dba Mid Coast Medical Center-Bellville

  • General Acute Care Hospital
  • Bellville, TX
  • NPI 1477857332
  Care Compare affiliation
• Brazos Valley Physicians Organization,Mso-LLC

  dba The Physicians Pain and Spine Centre

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1801817135
  Care Compare affiliation
• Scott & White Hospital - College Station

  dba Baylor Scott & White Medical Center - College Station

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1265772362
  Care Compare affiliation
• St Joseph Regional Health Center

  dba CHI St Joseph Health Grimes Hospital

  • Critical Access Hospital
  • Navasota, TX
  • NPI 1154317774
  Care Compare affiliation

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1689451486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 PENDLETON DR APT 5302",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022679",
            "telephone_number": "713-254-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 PENDLETON DR APT 5302",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022679",
            "telephone_number": "713-254-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUB",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Hohertz
• Mary Hohl, PHYSICAL THERAPIST
• Walter F. Hoke, RPH
• Courtney Monique Holmes, OTR/L
• Tyler Holt, BCBA
• Honest Dental Associates, P.a.
• Kenneth Garrett Honkomp
• Shanna Honkomp, FNP-C
• Jesse Honnas, DC
• Davelyn Eaves Hood, MD

• Physician Assistant in Bryan, TX
• Providers in Bryan, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.