Active NPI
David Benjamin Holmes, MD
- Student in an Organized Health Care Education/Training Program
- Baton Rouge, LA
National Provider Identifier
1740697374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 8415 Goodwood Blvd
Ste. 202
Baton Rouge, LA 70806-7851 - Phone
- (225) 765-8013
- Fax
- (225) 765-2033
- NPI assigned
- Jul 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | Primary |
Addresses
Primary practice location
8415 Goodwood Blvd
Ste. 202
Baton Rouge, LA 70806-7851
Mailing address
7777 Hennessy Blvd
Suite 6001
Baton Rouge, LA 70808-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2368788 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1740697374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 HENNESSY BLVD",
"address_2": "SUITE 6001",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 GOODWOOD BLVD",
"address_2": "STE. 202",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067851",
"telephone_number": "225-765-8013",
"fax_number": "225-765-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "DAVID",
"middle_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2368788",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.