Individual provider Active NPI

David Allen Breitweiser, M.D.

  • Family Medicine Physician
  • Brazil, IN
National Provider Identifier
1194715854
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043952 Issued in IN
Practice address
115 S Murphy Ave
Suite a
Brazil, IN 47834-8296
Phone
(812) 442-2100
Fax
(812) 446-4409
NPI assigned
Oct 25, 2005
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01043952 IN Primary

Addresses

Primary practice location

115 S Murphy Ave
Suite a
Brazil, IN 47834-8296

Mailing address

115 S Murphy Ave Ste a
Brazil, IN 47834-8397
Phone (812) 442-2100

Other identifiers 4

IdentifierTypeStateIssuer
200300810MedicaidIN
153869OtherINRURAL HEALTH
200853600AMedicaidIN
200125280MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000279 IN Practitioner - Family Practice 6103737960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians
Providence Medical Group, LLCGroup PAC ID 9335135995, 27 clinicians

Practice addresses (Care Compare)

115 S Murphy Ave
Suite a
Brazil, IN 47834-8296
Phone (812) 442-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01043952INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc CurrentSince Feb 11, 2017 Accepting new patients
Union Hospital, Inc. Family Medicine Current Accepting new patients
Union Hospital, Inc. CurrentSince Feb 11, 2017 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Major Hospital Past Accepting new patients
Susan Koslow M.D.,Inc Past Accepting new patients
Union Hospital Inc. Family Medicine Past Accepting new patients

Locations

115 S Murphy Ave
Ste A
Brazil, IN 47834
Phone (812) 442-2100

1214 E National Ave
Ste 100
Brazil, IN 47834
Phone (812) 442-2100

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

2723 S 7th St
Ste A
Terre Haute, IN 47802
Phone (812) 238-1730

Interoperability endpoints

  • Direct secure messaging: dbreitweiser@unionhealth.cernerdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1194715854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MURPHY AVE STE A",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478348397",
            "telephone_number": "812-442-2100",
            "fax_number": "812-446-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MURPHY AVE",
            "address_2": "SUITE A",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478348296",
            "telephone_number": "812-442-2100",
            "fax_number": "812-446-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITWEISER",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200300810",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH",
            "identifier": "153869",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200853600A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200125280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brazil, IN

Sources for this page

Verify at the official NPI Registry.