1. Home
  2. Directory
  3. Alabama
  4. Mobile
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

RYLAN HOLMBERG DO
NPI 1417691866
Student in an Organized Health Care Education/Training Program in Mobile, AL

Active since April 22, 2022PECOS Enrolled
2451 UNIVERSITY HOSPITAL DR RM 714, MOBILE, AL 36617(251) 471-7152 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 6, 2023, Apr 22, 2022 (2 updates tracked since 2022).

About Rylan Holmberg Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYLAN HOLMBERG DO (NPI 1417691866) is an individual student in an organized health care education/training program in Mobile, Alabama and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Deerfield Beach.

NPPES Registry Identity

NPI1417691866
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYLAN HOLMBERGCredential: DO
Location Address2451 UNIVERSITY HOSPITAL DR RM 714Mobile, AL 36617-2300
Mailing Address2451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · (251) 471-7152 · Fax (251) 471-7008
Phone(251) 471-7152
Sole ProprietorYes
Enumeration DateApril 22, 2022
Last NPPES UpdateApril 6, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1417691866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2451 UNIVERSITY HOSPITAL DR RM 714, Mobile, AL 36617
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 E Sample RdDeerfield Beach, FL 33064-3502 · Phone (954) 941-8300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rylan Holmberg Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER P MCNALLY MD
Surgery
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 445-8282
MIRANDA KOLBY CROWELL MD
Psychiatry & Neurology (Psychiatry)
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 660-2360
DR. AHMER ISRAR DO
Psychiatry & Neurology (Psychiatry)
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 660-2360
SETH ALAN RICHARD DO
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 471-7000
DANIEL FRANCISCO ISAZA PIEROTTI
Psychiatry & Neurology (Neurology)
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 660-5108
USAMA OGUZ MD
Internal Medicine (Cardiovascular Disease)
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 471-7207
DR. THOMAS ALLEN BOYD MD
Orthopaedic Surgery
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 665-8200
SEBRINA BURNETT DO
Psychiatry & Neurology (Psychiatry)
2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE, AL 36617
Mobile County (251) 434-3475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rylan Holmberg's NPI number?

The NPI number for Rylan Holmberg is 1417691866. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Rylan Holmberg located?

Rylan Holmberg practices at 2451 University Hospital Dr Rm 714, Mobile, AL 36617. The listed phone number is (251) 471-7152.

What is Rylan Holmberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rylan Holmberg enrolled in Medicare?

Yes. Rylan Holmberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rylan Holmberg was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.