Individual provider Active NPI

Brenda E Holcomb, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Morristown, NJ
National Provider Identifier
1982030474
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
DO5347900 Issued in NJ
Practice address
540 W Hanover Ave
Morristown, NJ 07960-2500
Phone
(973) 993-9536
NPI assigned
Sep 17, 2013
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X DO5347900 NJ Primary

Addresses

Primary practice location

540 W Hanover Ave
Morristown, NJ 07960-2500

Mailing address

540 W Hanover Ave
Morristown, NJ 07960-2500
Phone (973) 993-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170404002530 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3476839531 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Pacs 2 PAGroup PAC ID 4486903705, 16 clinicians
New Jersey Post Acute Medical Services 1 PAGroup PAC ID 7214200351, 3 clinicians

Practice addresses (Care Compare)

77 Madison Ave
Morristown, NJ 07960-7330
Phone (973) 540-9800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO5347900NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
New Jersey Post Acute Medical Services 1 PA CurrentSince Sep 18, 2018 Accepting new patients
NJ Pacs 2 PA CurrentSince Dec 1, 2018 Accepting new patients

Locations

215 Madison Ave
Madison, NJ 07940
Phone (973) 301-0005

151 Madison Ave
Morristown, NJ 07960
Phone (973) 656-2700

77 Madison Ave
Morristown, NJ 07960
Phone (973) 540-9800

95 Mount Kemble Ave
Morristown, NJ 07960
Phone (973) 971-4451

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

540 W Hanover Ave
Township of Mendham, NJ 07960
Phone (973) 285-2800

1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1982030474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W HANOVER AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602500",
            "telephone_number": "973-993-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W HANOVER AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602500",
            "telephone_number": "973-993-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "BRENDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "DO5347900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.