Active NPI
Breanna Orcutt, DO
- Anesthesiology Physician
- Charleston, SC
National Provider Identifier
1023859899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- LL91411
- Practice address
- 169 Ashley Ave RM 202
Charleston, SC 29425-8905 - Phone
- (469) 767-1525
- NPI assigned
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | LL91411 | SC | Primary |
Addresses
Primary practice location
169 Ashley Ave RM 202
Charleston, SC 29425-8905
Mailing address
169 Ashley Ave RM 202
Charleston, SC 29425-8905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL91411 | SC | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1023859899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE RM 202",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE RM 202",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "469-767-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORCUTT",
"first_name": "BREANNA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "LL91411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
- Andra Oprisan, MD
- Optimistic Solutions Counseling Services LLC
- Oral & Maxillofacial Surgery Associates of Charleston
- Orange Grove Elementary Charter School
- Orange Grove Healthcare, Inc.
- James Michael Orcutt, M.D.
- Collins Onyeka Ordiah, MBBS, MPH
- Jordan Organ, PSYD
- Olivia Orman
- Tristan Cain Orman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.