Individual provider Active NPI

Andrew J Breland, MS, MPAS, LPC, PA-C

  • Medical Physician Assistant
  • Webster, TX
National Provider Identifier
1013436062
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19080 Issued in TX
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

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 13744 TX
Professional Counselor 101YP2500X 2281 MS
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
374571302MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250715002112 TX Practitioner - Physician Assistant 9032624457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
2281MSMDProfessional Counselor
75012TXMDProfessional Counselor
13744TXMDChiropractor
PA19080TXMDMedical 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.

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

Verify at the official NPI Registry.