Active NPI
Sean Holster, M.D.
- Family Medicine Physician
- Brenham, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q0071
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0071 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brenham Family Practice and Obstetrics PA | Family Medicine | Current | Accepting new patients |
| Brenham Family Practice and Obstetrics PA | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Brenham Family Practice and Obstetrics PA. | 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.
-
- Rural Health Clinic/Center
- Brenham, TX
- NPI 1275193005
5% Or Greater Direct Ownership Interest
-
- Family Medicine Physician
- Brenham, TX
- NPI 1447248810
5% Or Greater Direct Ownership Interest
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.
-
- Family Medicine Physician
- Brenham, TX
- NPI 1447248810
-
- Rural Health Clinic/Center
- Brenham, TX
- NPI 1275193005
-
- General Practice Physician
- Round Rock, TX
- NPI 1992957963
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.