Provider Demographics
NPI:1205853090
Name:HOLDAWAY, BRIAN KENDALL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:KENDALL
Last Name:HOLDAWAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-521-5800
Mailing Address - Fax:804-545-4340
Practice Address - Street 1:7505 RIGHT FLANK RD
Practice Address - Street 2:SUITE 700
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3865
Practice Address - Country:US
Practice Address - Phone:804-559-0405
Practice Address - Fax:804-559-0409
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101044162207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA256479OtherANTHEM/VA HEALTHKEEPERS
VA27413300OtherFEDERAL BLACK LUNG
VA276356OtherANTHEM/VA HEALTHKEEPERS
VA116659OtherSOUTHERN HEALTH SERVICES
VA2220441OtherAETNA/US HEALTHCARE HMO
VA276273OtherANTHEM/VA HEALTHKEEPERS
VA33632OtherSENTARA HEALTH/OPTIMA
VA275804OtherMAMSI
VA276200OtherANTHEM/VA HEALTHKEEPERS
VA60057485OtherRAILROAD MEDICARE
VA5722129OtherCIGNA
VA25-00309OtherUNITED HEALTHCARE
VA276249OtherANTHEM/VA HEALTHKEEPERS
VA5102569OtherAETNA/US HEALTHCARE
VA5834341Medicaid
VA103797OtherANTHEM/VA HEALTHKEEPERS
VA276231OtherANTHEM/VA HEALTHKEEPERS
VA276356OtherANTHEM/VA HEALTHKEEPERS
VA33632OtherSENTARA HEALTH/OPTIMA