Individual provider Active NPI

Bradley Guy Holden

  • Chiropractor
  • Austin, TX
National Provider Identifier
1851323216
Registry record updated May 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10499 Issued in TX
Practice address
6012 W William Cannon Dr Ste A102
Austin, TX 78749-1976
Phone
(512) 301-5996
Fax
(512) 301-5692
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5994 MI
Chiropractor 111N00000X 10499 TX Primary

Addresses

Primary practice location

6012 W William Cannon Dr Ste A102
Austin, TX 78749-1976

Mailing address

6012 W William Cannon Dr Ste A102
Austin, TX 78749-1976
Phone (512) 301-5996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000458 TX Practitioner - Chiropractic 1850363482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthfirst Chiropractic PCGroup PAC ID 5698812410, 2 clinicians

Practice addresses (Care Compare)

5815 W William Cannon Dr
Suite 101
Austin, TX 78749-1966

6012 W William Cannon Dr
Suite A102
Austin, TX 78749-1976
Phone (512) 301-5996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5994MIMDChiropractor
10499TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Chiropractic PC Chiropractor CurrentSince Sep 10, 2009 Accepting new patients
Total Health Spine & Sport, P.C. Chiropractor PastSince Sep 20, 2010 Accepting new patients

Locations

5815 W William Cannon Dr
Ste 101
Austin, TX 78749
Phone (512) 301-5996

6012 W William Cannon Dr
Austin, TX 78749
Phone (512) 301-5996

6012 W William Cannon Dr
Ste A102
Austin, TX 78749
Phone (512) 301-5996

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1851323216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 W WILLIAM CANNON DR STE A102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491976",
            "telephone_number": "512-301-5996",
            "fax_number": "512-301-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 W WILLIAM CANNON DR STE A102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491976",
            "telephone_number": "512-301-5996",
            "fax_number": "512-301-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "BRADLEY",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "5994",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.