Bradley Wyatt Holt, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

42850 Issued in AZ

Practice address

6320 N la Cholla Blvd Ste 200
Tucson, AZ 85741-3549

Phone

(520) 382-8200

Fax

(520) 297-3505

NPI assigned

Aug 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Interventional Pain ManagementAlso: Pain Management

Education

University of Arizona College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tucson Orthopaedic Institute Professional CorporationGroup PAC ID 5799671905, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tucson Orthopaedic Institute Professional Corporation

  • Orthopaedic Surgery Physician
  • Tucson, AZ
  • NPI 1437193265

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Tucson Orthopaedic Institute Professional Corporation

  • Orthopaedic Surgery Physician
  • Tucson, AZ
  • NPI 1609328350
  NPD

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

• Oro Valley Hospital LLC

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1922230507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6320",
            "fax_number": "520-297-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413549",
            "telephone_number": "520-382-8200",
            "fax_number": "520-297-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3390 N Campbell Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192380",
            "country_code": "US",
            "telephone_number": "520-795-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 N Silverbell Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452718",
            "country_code": "US",
            "telephone_number": "520-882-0696",
            "fax_number": "520-624-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12315 N Vistoso Park Rd",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857555819",
            "country_code": "US",
            "telephone_number": "520-544-9700",
            "fax_number": "520-618-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "BRADLEY",
        "middle_name": "WYATT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "R70503",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "42850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523022",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer David Holmes, MD
• Holon Health Great Lakes, P.C.
• Julie Lynn Holroyd
• Charlotte Elizabeth Holst Reilley
• Lauren Holstein
• Brent Marion Holt
• Devin Holt
• Harry Holt IV, RN
• Nathan Daniel Holt III, DO
• Peggy Ann Holt, M.S., LPC, CTRS

• Interventional Pain Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.