DR. ROBERT HOLLY (NPI# 1720530355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720530355 |
| Entity Type | Individual |
| Full Name | DR. ROBERT HOLLY |
| Credential | D.V.M. |
| Practice Address |
7606 Reilly Rd Bldg 2 Fort Bragg NC 28307 |
| Mailing Address |
184 Century Dr Cameron NC 28326-4001 |
| Practice Telephone | 9103969120 |
| Mailing Telephone | 7064243531 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | VET009208 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689768699 | Robert Lee Holly | Optometrist | 1854 Dell Range Blvd, Cheyenne, WY 82009-4949 | 2006-10-03 |
| 1780791301 | Robert J Holly | Obstetrics & Gynecology | 855 N Westhaven Dr, Oshkosh, WI 54904 | 2006-08-23 |
| Street Address |
7606 REILLY RD BLDG 2 |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1003398850 | Bailey Moorhead | Dentist | Bldg C-6238 Ardennes Road, Fort Bragg, NC 28307 | 2018-08-29 |
| 1619454980 | Seth David Williams | Physician Assistant | Bldg C-1722 Tagatay Dr, Fort Bragg, NC 28307 | 2018-07-19 |
| 1134633894 | Ashley Andrick | Physician Assistant | 1722 Tagatay Dr, Fort Bragg, NC 28307 | 2017-11-16 |
| 1184144479 | Thomas William Hanna IIi | Dentist | Bldg C-6238 Ardennes St., Fort Bragg, NC 28307 | 2017-06-27 |
| 1891246708 | Womack Army Medical Center | Pharmacy | 1571 Reilly Rd, Bldg 4, Ft Bragg, NC 28307 | 2016-10-17 |
| 1710319405 | Valerie D. Jefferys | Pharmacist | 2817 Reily Road Womack Army Medical Center, Apo, AE 28307 | 2013-08-05 |
| 1689976367 | Komkwuan Pholtavee Paruchabutr | Registered Nurse | Building 4-2817 Reilly Road, Fort Bragg, NC 28307 | 2010-12-01 |
| 1609032879 | Kristi Lyn Natalino | Physical Therapist | 2817 Reilly Rd Bldg 4, Physical Therapy Department, Fort Bragg, NC 28307 | 2008-08-06 |
| 1841465051 | Mary Thomas Plunkett | Internal Medicine | Building 4-2817 Reilly Road Womack Army Medical Center, Internal Medicine Dept - Fort Bragg, Fayetteville, NC 28307 | 2008-04-29 |
| Find all providers in zip 28307 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578058194 | Dwain Gavin Mccall | Military Health Care Provider | C1722 Tagaytay Drive, Fort Bragg, NC 28310-5318 | 2018-06-26 |
| 1720602824 | James Harter | Military Health Care Provider | 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2020-06-04 |
| 1669093233 | Nathan Jeffrey Palmer | Military Health Care Provider | 1722 Gruber Rd, Fort Bragg, NC 28310-7901 | 2020-05-05 |
| 1770118358 | John Commerford | Military Health Care Provider | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-03-04 |
| 1518590983 | James Ma | Military Health Care Provider | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2020-02-13 |
| 1992261580 | Ahsan Salim Mir | Military Health Care Provider | 1722 Tagatay Dr, Fort Bragg, NC 28307 | 2019-02-19 |
| 1518440411 | Jacob Michael Alexander | Military Health Care Provider | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2018-09-07 |
| 1992288724 | Kabita Bista | Military Health Care Provider | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2018-09-07 |
| 1053863803 | Karen Devane Jeffers | Military Health Care Provider | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2016-10-27 |
| 1073866083 | Chelsea Wrenn | Military Health Care Provider | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2012-10-16 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.