Individual provider Active NPI

Thomas Holdbrook

  • Psychiatry Physician
  • Norristown, PA
National Provider Identifier
1942389762
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD059763L Issued in PA
Practice address
50 Beech Drive
Norristown, PA 19403-5421
Phone
(610) 279-6100
Fax
(610) 279-0978
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD059763L PA Primary

Addresses

Primary practice location

50 Beech Drive
Norristown, PA 19403-5421

Mailing address

50 Beech Drive
Norristown, PA 19403-5421
Phone (610) 279-6100

Other identifiers 1

IdentifierTypeStateIssuer
01592757MedicaidPA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070419000449 PA Practitioner - Psychiatry 2163527136 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Parkside Recovery CurrentSince May 29, 2014 Accepting new patients
Merakey Parkside Recovery CurrentSince May 29, 2014 Accepting new patients
Merakey Philadelphia CurrentSince Apr 29, 2014 Accepting new patients

Locations

906 Bethlehem Pike
Glenside, PA 19038
Phone (215) 836-2127

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

11082 Knights Rd
Philadelphia, PA 19154
Phone (215) 632-9040

27 E Mount Airy Ave
Philadelphia, PA 19119
Phone (215) 248-6700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942389762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEECH DRIVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035421",
            "telephone_number": "610-279-6100",
            "fax_number": "610-279-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEECH DRIVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035421",
            "telephone_number": "610-279-6100",
            "fax_number": "610-279-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDBROOK",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD059763L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592757",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.