DR. ETHAN HUNTER HOLM DC
NPI 1679431167
Chiropractor in Birmingham, AL

Q: What is Ethan Holm's NPI number?

The NPI number for Ethan Holm is 1679431167. It was assigned to this individual provider in the NPPES registry on January 13, 2026.

Q: What is Ethan Holm's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Holm was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 January 13, 2026

203 NARROWS PKWY STE A, BIRMINGHAM, AL 35242(205) 419-1595 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Ethan Hunter Holm Dc NPPES

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

DR. ETHAN HUNTER HOLM DC (NPI 1679431167) is an individual chiropractor in Birmingham, Alabama, licensed in Alabama (2945) and active in the NPI registry since January 2026. He maintains a secondary practice location in Becker and is a graduate of Northwestern College Of Chiropractic (2025).

NPPES Registry Identity

NPI1679431167

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. ETHAN HUNTER HOLMCredential: DC

Location Address203 NARROWS PKWY STE ABirmingham, AL 35242-8649

Mailing Address203 Narrows Pkwy Ste ABirmingham, AL 35242-8649 · (763) 482-3774

Phone(205) 419-1595

Sole ProprietorYes

Medical School CMSNorthwestern College Of ChiropracticGraduated 2025

Enumeration DateJanuary 13, 2026

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1679431167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in AL · 2945✔ Licensed in MN · 7389

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

203 NARROWS PKWY STE A, Birmingham, AL 35242

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Secondary Practice Location 1

Location 18112 County Road 23 SEBecker, MN 55308-4800 · Phone (763) 482-3774

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Hunter Holm Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860976487

PECOS Enrollment IDI20260323000399

Medicare Billing Reassignment

Medicare enrollment records show Ethan Holm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Functional Athletic Rehabilitation & Movement

Same address

Sports Physician

203 NARROWS PARKWAY, SUITE A
Birmingham, AL 35242

Reassigned Medicare billing, Alabama enrollment
4 clinicians in this Medicare group

NPI 1790106201 (205) 419-1595

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

DR. BEAU RYAN BEARD D.C., M.S.

Chiropractor (Sports Physician)

203 NARROWS PKWY STE A
BIRMINGHAM, AL 35242

Shelby County (205) 419-1595

ALEXANDER DOLAN COLEMAN

Chiropractor

203 NARROWS PKWY STE A
BIRMINGHAM, AL 35242

Shelby County (205) 419-1595

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 Ethan Holm's NPI number?

The NPI number for Ethan Holm is 1679431167. It was assigned to this individual provider in the NPPES registry on January 13, 2026.

Where is Ethan Holm located?

Ethan Holm practices at 203 Narrows Pkwy Ste A, Birmingham, AL 35242. The listed phone number is (205) 419-1595.

What is Ethan Holm's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ethan Holm enrolled in Medicare?

Yes. Ethan Holm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Holm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Holm reassigns Medicare benefits to Functional Athletic Rehabilitation & Movement (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Holm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Holm was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.