KEVIN R. HOLBERT M.D. NPI 1376768440

NPI Information

  • NPI: 1376768440
  • Provider Name: KEVIN R. HOLBERT, M.D.
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 CORPORATE SQUARE BLVD
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 899-4500

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NPI Details

Kevin R. Holbert, M.D. is an addiction medicine psychiatry neurology in Jacksonville, FL. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Kevin R. Holbert, M.D. NPI is 1376768440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL
ZIP 32216-941
Phone: (904) 899-4500
Fax: (904) 899-4538

The NPI 1376768440 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 enumeration date for this NPI number is 4/16/2007 and was last updated on 1/22/2024.

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
12084A0401XPsychiatry & NeurologyAddiction MedicineME117810FLORIDAYes
2207Q00000XFamily Medicine69866GEORGIANo

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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