Bradly Shane Holland in Gravette - Emergency Medicine
Bradly Shane Holland - NPI 1619905692
Bradly Shane Holland is a Emergency Medicine in Gravette, Arkansas. Bradly Shane Holland practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Bradly Shane Holland is 1619905692. The last update date is 2022-08-10.
Bradly Shane Holland's current location address is 1101 Jackson St Sw, Gravette, Arkansas. You can contact this provider via phone number 4797875291 and fax number 4793446404. The mailing address for Bradly Shane Holland is 1101 Jackson St Sw, Gravette, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradly Shane Holland |
|---|---|
| Address | 1101 Jackson St Sw, Gravette, Arkansas |
| Phone Number | 4797875291 |
| Fax Number | 4793446404 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1619905692 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2022-08-10 |
Provider Mailing Address Detail
| Address | 1101 Jackson St Sw |
|---|---|
| City | Gravette |
| State | Arkansas (AR) |
| Post Code | 7273691210 |
| Phone Number | 4797875291 |
| Fax Number | 4793446404 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 1639 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4119511 | TN | BCBS OF TN | |
| 3300823 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bradly Shane Holland by the Centers for Medicare & Medicaid Services?
The Bradly Shane Holland has been issued the NPI (National Provider Identifier) 1619905692. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bradly Shane Holland is located?
The Bradly Shane Holland is situated at the following address: 1101 Jackson St Sw, Gravette, AR, 7273691210.
What is Bradly Shane Holland's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradly Shane Holland is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did Bradly Shane Holland receive its 1619905692 assignment from the Centers for Medicare & Medicaid Services?
The Bradly Shane Holland was assigned its 1619905692 on 2006-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bradly Shane Holland's details last updated?
The information pertaining to the Bradly Shane Holland, including its address, specialty, and other details, was most recently updated on 2022-08-10.
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