Bradley K. Holt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3369 Issued in GA

Practice address

4500 8TH Division Rd
Columbia, SC 29207-5700

Phone

(803) 751-6789

NPI assigned

Sep 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1902903008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BRIDGECREEK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298908",
            "telephone_number": "803-234-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 8TH DIVISION RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-6789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Bridgecreek Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292298908",
            "country_code": "US",
            "telephone_number": "803-234-5423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "BRADLEY",
        "middle_name": "K.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403356E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silas Wendell Holmes II, M.D.
• Willgreta Holmes
• Eijah S. Holness, D.D.S.
• Azie Arnice Holoman
• Bonnie Egleston Holstein, LISW
• Sophia L Holt
• Winferd Dale Holt III, DMD
• Vivian J Holts, MSW
• Tia Holtzclaw, M.A.
• Douglas Keith Holtzman, MD

• Medical Physician Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.