ROGER HOLMAN DO NPI 1073518270

NPI Information

  • NPI: 1073518270
  • Provider Name: ROGER HOLMAN, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 675 W RANDALL ST
    COOPERSVILLE, MI
    ZIP 49404
  • Phone: (616) 837-9777

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NPI Details

Roger Holman, DO is a family medicine in Coopersville, MI with 52 years of experience. The provider is 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. Roger Holman, DO NPI is 1073518270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1974

The provider's business location address is:

675 W RANDALL ST
COOPERSVILLE, MI
ZIP 49404-305
Phone: (616) 837-9777
Fax: (616) 837-7813

The NPI 1073518270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/15/2005 and was last updated on 12/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine5101006733MICHIGANNo
2207Q00000XFamily Medicine5101006733MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005703574OTHERMICHIGANBCBSMI
2E26596MEDICARE UPINMICHIGAN
30N27520OTHERMICHIGANMEDICARE MCUG GROUP
4112730992MEDICAIDMICHIGAN
5N27520004OTHERMICHIGANMEDICARE MGUC INDIVIDUAL
64313667MEDICAIDMICHIGAN
7P57675OTHERMICHIGANBLUES HMO'S
8930037424MEDICARE PIN
9G06043005MEDICARE PIN
100027003OTHERMICHIGANPRIORITY HEALTH HMO
11RH006733OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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