Individual provider Active NPI

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

  • Medical Physician Assistant
  • Webster, TX
National Provider Identifier
1013436062
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19080 Issued in TX
Practice address
223 Ibis St
Webster, TX 77598-2334
Phone
(832) 404-2601
Fax
(832) 404-2601
NPI assigned
Sep 11, 2017
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2281 MS
Medical Physician Assistant 363AM0700X PA19080 TX Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 75012 TX

Addresses

Primary practice location

223 Ibis St
Webster, TX 77598-2334

Mailing address

223 Ibis St
Webster, TX 77598-2334
Phone (832) 404-2601

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1793232000000",
    "number": "1013436062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 IBIS ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982334",
            "telephone_number": "832-404-2601",
            "fax_number": "832-404-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 IBIS ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982334",
            "telephone_number": "832-404-2601",
            "fax_number": "832-404-2601"
        }
    ],
    "practiceLocations": [],
    "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": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2281",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA19080",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.