Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caleb Todd Holbrook

Individual provider Physician Assistant · NPI 1174279707

Caleb Todd Holbrook is a Physician Assistant in Springfield, Missouri. Qualified in 2021, 5 years ago. Works from 2 locations.

Years since qualifying
5
In the registry since
2022

Practice location Address checks out

3555 S National Ave
Springfield, MO 65807-7310
Phone: (417) 875-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 S National Ave Ste 600, Springfield, MO 65807-5249 — (000) 000-0000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174279707
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing addressPo Box 802843, Kansas City, MO 64180-2843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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