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

Jonathan Holbrook, MD

Individual provider Interventional Cardiology Physician · NPI 1710307384

Jonathan Holbrook, MD is an Interventional Cardiology in Provo, Utah. Graduated from University of Texas Southwestern Medical School at Dallas in 2014, 12 years ago. Practices with Revere Health PC, a 410-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Utah.

Years since qualifying
12
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
IA, UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

395 W Bulldog Blvd
Provo, UT 84604-3311
Phone: (801) 357-7081
Show map & directions

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

Additional practice locations (2)

  • 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 — (319) 356-7102
  • 1055 N 500 W, Provo, UT 84604-3305 — (801) 354-8225

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 12192553-1205 (UT)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence R-11922 (IA)

Record details

NPI number1710307384
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2014
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2014 (12 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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