Breitbeck Physician Medicine Services, PC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

BREITBECK PHYSICIAN MEDICINE SERVICES, PC

Practice address

160 E Main St
Port Jervis, NY 12771-2114

Phone

(845) 858-7000

NPI assigned

Sep 18, 2019

Last updated

Sep 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Whitman, DONPI 1144240250

Title

President/Director

Phone

(337) 609-1221

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce S. Whitman, D.O.

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1144240250
  NPD (past) Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1205486669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712114",
            "telephone_number": "845-858-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREITBECK PHYSICIAN MEDICINE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "337-609-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05985951",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037687270001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730238",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dahniem Bozarth
• Cecilia Brandel
• Braunagel & Braunagel, Inc. (Aliton's Pharmacy Home Healthcare Centers)
• Braunagel & Braunagel, Inc. (Aliton's Pharmacy Home Healthcare Centers)
• Carl Joseph Braunagel Jr., R.PH.
• David Harold Brody, M.D.
• Ann Marie Brown, LMHC, NCC
• Vivian Bruno
• Built for Growth LLC
• Chad Michael Burkhart

• Hospitalist Physician in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Hospitalist Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.