Bradford W Holland, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

L3681 Issued in TX

Practice address

1507 W Main St
Gatesville, TX 76528-1024

Phone

(254) 865-2166

Fax

(254) 248-0626

NPI assigned

Jun 5, 2006

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

Other identifiers 1

Electronic endpoints 1

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

Specialty

Otolaryngology

Education

University of Texas Southwestern Medical School at Dallas, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coryell County Memorial Hospital AuthorityGroup PAC ID 7719886282, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
• Ascension Providence Hospital, Waco, TX, CCN 450042
• Goodall Witcher Hospital Hospital, Clifton, TX, CCN 451385
• Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bholland@ch.cernerdirect.com

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.

• Coryell County Memorial Hospital Authority

  • Anesthesiology Physician
  • Gatesville, TX
  • NPI 1992832521
  Medicare reassignment Care Compare group NPD
• Providence Health Alliance

  • Specialist
  • Waco, TX
  • NPI 1932210838
  Medicare reassignment NPD
• Coryell County Memorial Hospital Authority

  • Skilled Nursing Facility
  • Gatesville, TX
  • NPI 1427345347
  NPD
• Coryell County Memorial Hospital Authority

  • Emergency Medicine Physician
  • Gatesville, TX
  • NPI 1528195062
  NPD
• Providence Health Alliance

  • Rural Health Clinic/Center
  • Waco, TX
  • NPI 1336590462
  NPD

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

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679
  Care Compare affiliation
• Bosque County Hospital District

  • Critical Access Hospital
  • Clifton, TX
  • NPI 1104383371
  Care Compare affiliation
• Coryell County Memorial Hospital Authority

  • Critical Access Hospital
  • Gatesville, TX
  • NPI 1780823021
  Care Compare affiliation
• Hamilton County Hospital District

  • Critical Access Hospital
  • Hamilton, TX
  • NPI 1326037607
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1790724839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767106922",
            "country_code": "US",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "BRADFORD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L3681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150412801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bholland@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillside Nursing and Rehabilitation LP
• Frank Christopher Hinds, M.D.
• Christa D Hitt, LPC
• Tera Hix, PTA
• Vanessa Natalie Hodges, RN
• James Gary Holtzclaw, LPC
• Rachel J Hopson, FNP
• Austin E Horrocks, DO
• David Lyon Hudson, MD
• Aaron Gary Humphreys, MD

• Otolaryngology Physician in Gatesville, TX
• Providers in Gatesville, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.