JUSTIN ROBERT HOLBROOK MD
NPI 1912529652
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Justin Holbrook's NPI number?

The NPI number for Justin Holbrook is 1912529652. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Q: What is Justin Holbrook's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Holbrook was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 15, 2020PECOS Enrolled

1800 ORLEANS STREET, BALTIMORE, MD 21264(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2023, May 15, 2020 (2 updates tracked since 2020).

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About Justin Robert Holbrook Md NPPES

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

JUSTIN ROBERT HOLBROOK MD (NPI 1912529652) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1912529652

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN ROBERT HOLBROOKCredential: MD

Location Address1800 ORLEANS STREETBaltimore, MD 21264-4135

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266

Phone(410) 955-5000

Sole ProprietorNo

Enumeration DateMay 15, 2020

Last NPPES UpdateMay 30, 20242 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1912529652 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.

1800 ORLEANS STREET, Baltimore, MD 21264

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Secondary Practice Location 1

Location 1One Medical Center BlvdWinston Salem, NC 27157-4135 · Phone (336) 716-3182 · Fax (336) 716-5168

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Robert Holbrook Md 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.

DR. KRISTIN ELIZABETH PATZKOWSKY MD

Obstetrics & Gynecology