Active NPI
Andrew J Breland, MS, MPAS, LPC, PA-C
- Medical Physician Assistant
- Webster, TX
National Provider Identifier
1013436062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA19080
- Practice address
- 333 N Texas Ave Ste 2200
Webster, TX 77598-4964 - Phone
- (832) 404-2601
- Fax
- (832) 404-2601
- NPI assigned
- Sep 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13744 | TX | |
| Professional Counselor | 101YP2500X | 2281 | MS | |
| Professional Counselor | 101YP2500X | 75012 | TX | |
| Surgical Physician Assistant | 363AS0400X | PA19080 | TX | |
| Medical Physician Assistant | 363AM0700X | PA19080 | TX | Primary |
Addresses
Primary practice location
333 N Texas Ave Ste 2200
Webster, TX 77598-4964
Mailing address
333 N Texas Ave Ste 2200
Webster, TX 77598-4964
Phone (832) 404-2601
Other practice location 1
210 E Peace St
Canton, MS 39046
Phone (662) 883-0331
Other practice location 2
210 W Jackson St
Ridgeland, MS 39157-2312
Phone (662) 883-0331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374571302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281 | MS | MD | Professional Counselor |
| 75012 | TX | MD | Professional Counselor |
| 13744 | TX | MD | Chiropractor |
| PA19080 | TX | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Webster, TX
- NPI 1508420787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1013436062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N TEXAS AVE STE 2200",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984964",
"telephone_number": "832-404-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N TEXAS AVE STE 2200",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984964",
"telephone_number": "832-404-2601",
"fax_number": "832-404-2601"
}
],
"practiceLocations": [
{
"address_1": "210 E Peace St",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MS",
"postal_code": "39046",
"country_code": "US",
"telephone_number": "662-883-0331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 W Jackson St",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391572312",
"country_code": "US",
"telephone_number": "662-883-0331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRELAND",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "MS, MPAS, LPC, PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-11",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "13744",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2281",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75012",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA19080",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA19080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374571302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.