Klementyna M Breyer, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

49448 Issued in CO

Practice address

8300 W 38TH Ave
Union Hospital
Wheat Ridge, CO 80033-6005

Phone

(303) 484-8404

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Klementyna M Breyer Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  • NPI 1851361224
  NPD (past)
• Doctors for Emergency Service

  • Emergency Medicine Physician
  • Newark, DE
  • NPI 1750369674
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1073593562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351750",
            "address_2": "UNION HOSPITAL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80035",
            "telephone_number": "303-484-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "address_2": "UNION HOSPITAL",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-484-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802062761",
            "country_code": "US",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREYER",
        "first_name": "KLEMENTYNA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "49448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66371881",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407386000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJHealth@njc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1400 Jackson St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802062761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KLEMENTYNA",
            "last_name": "BREYER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Brence
• Jemma Breslin
• Anna Joy Brett, DO
• Elizabeth C Brew, M.D.
• Jessica Brewster
• Sheryl Lynn Brickner, PHD
• Bright Eyes Vision Clinic PC a Colorado Professional Corporation
• Miguel Brito-Mariani
• Krissa Leigh Britsch, M.S. CCC-SLP
• Lisa D Brockmeier, LCSW

• Emergency Medicine Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.