NPIMap

Individual provider Active NPI

Brian Holloway, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1891972212
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14212992-1205 Issued in UT
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jan 28, 2008
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 99713 CA
Diagnostic Radiology Physician 2085R0202X 14212992-1205 UT Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, IA, MT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250507003096 UT Practitioner - Diagnostic Radiology 7810168267 Reassigns benefits to 8 organizations
I20251016002830 IA Practitioner - Diagnostic Radiology 7810168267 Reassigns benefits to 2 organizations
I20260108001728 MT Practitioner - Diagnostic Radiology 7810168267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Syracuse, UT 84075
Phone (570) 271-6144

3404 S 2460
Syracuse, UT 84075-1137
Phone (952) 595-1100

54 E Churchill Dr
Salt Lake City, UT 84103-2266
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99713CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Aug 1, 2025 Accepting new patients
Sidney Health Center CurrentSince Jul 23, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 5, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Sidney Health Center CurrentSince Jul 23, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Sep 2, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Alameda Health System Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

100 N Academy Ave
Danville, PA 17822

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1891972212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "99713",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "14212992-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.