DR. BRADLY SHANE HOLLAND DO
NPI 1619905692
Family Medicine in Rogers, AR

Q: What is Bradly Holland's NPI number?

The NPI number for Bradly Holland is 1619905692. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Bradly Holland's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradly Holland was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 29, 2006PECOS Enrolled

5208 W VILLAGE PKWY STE 1, ROGERS, AR 72758(479) 389-2803 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Aug 10, 2022, Feb 16, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Bradly Shane Holland Do NPPES

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

DR. BRADLY SHANE HOLLAND DO (NPI 1619905692) is an individual family medicine provider in Rogers, Arkansas, licensed in Arkansas (E-5111) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619905692

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRADLY SHANE HOLLANDCredential: DO

Location Address5208 W VILLAGE PKWY STE 1Rogers, AR 72758-8199

Mailing Address4310 W WoodviewRogers, AR 72758-8084 · (479) 586-0984

Phone(479) 389-2803

Sole ProprietorNo

Enumeration DateJune 29, 2006

Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1619905692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E-5111

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License E5111 (AR), 1639 (TN)

5208 W VILLAGE PKWY STE 1, Rogers, AR 72758

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11519 Main StSneedville, TN 37869-3657 · Phone (423) 733-5022

Location 21101 Jackson St SWGravette, AR 72736-9121 · Phone (479) 787-5291 · Fax (479) 344-6404

Other Identifiers 2

Other4119511TN · Bcbs Of Tn

Medicaid3300823TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradly Shane Holland 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

B SHANE HOLLAND, DO, PLLC

Clinic/Center

5208 W VILLAGE PKWY STE 1
ROGERS, AR 72758

Benton County (479) 389-2803

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 Bradly Holland's NPI number?

The NPI number for Bradly Holland is 1619905692. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Bradly Holland located?

Bradly Holland practices at 5208 W Village Pkwy Ste 1, Rogers, AR 72758. The listed phone number is (479) 389-2803.

What is Bradly Holland's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bradly Holland enrolled in Medicare?

Yes. Bradly Holland is registered in the Medicare PECOS enrollment system.

What insurance does Bradly Holland accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and Octave list Bradly Holland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradly Holland was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.