Individual provider Active NPI

Sean Holster, M.D.

  • Family Medicine Physician
  • Brenham, TX
National Provider Identifier
1740548676
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0071 Issued in TX
Practice address
601 Medical Pkwy
Suite D
Brenham, TX 77833-5429
Phone
(979) 836-2822
Fax
(979) 836-1943
NPI assigned
Apr 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0071 TX Primary
Obstetrics Physician 207VX0000X Q0071 TX

Addresses

Primary practice location

601 Medical Pkwy
Suite D
Brenham, TX 77833-5429

Mailing address

601 Medical Pkwy
Suite D
Brenham, TX 77833-5429
Phone (979) 836-2822

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216002317 TX Practitioner - Family Practice 8820311285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q0071TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brenham Family Practice and Obstetrics PA Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Brenham Family Practice and Obstetrics PA CurrentSince Mar 1, 2016 Accepting new patients
Texas a&M University System Health Science Center Past Accepting new patients

Locations

601 Medical Pkwy
Ste D
Brenham, TX 77833
Phone (979) 251-7273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHJCDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brenham Family Practice and Obstetrics PA.Brenham, TX, CCN 673945 Rural health clinic 5% Or Greater Direct Ownership Interest (16%) Mar 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1740548676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY",
            "address_2": "SUITE D",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335429",
            "telephone_number": "979-836-2822",
            "fax_number": "979-836-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY",
            "address_2": "SUITE D",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335429",
            "telephone_number": "979-836-2822",
            "fax_number": "979-836-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTER",
        "first_name": "SEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-28",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0071",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "Q0071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.