Individual provider Active NPI

Reid Breckwoldt

  • Diagnostic Radiology Physician
  • Huntersville, NC
National Provider Identifier
1295737583
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9800790 Issued in NC
Practice address
9533 Devonshire Dr
Huntersville, NC 28078-5868
Phone
(303) 933-8270
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD210002939 DC
Diagnostic Radiology Physician 2085R0202X 282090 NY
Diagnostic Radiology Physician 2085R0202X 9800790 NC Primary

Addresses

Primary practice location

9533 Devonshire Dr
Huntersville, NC 28078-5868

Mailing address

13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331

Other practice location 1

2041 Georgia Ave NW # 1R84
Washington, DC 20060-5868
Phone (202) 865-6679

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD, NY, DC, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20100828000086 NC Practitioner - Diagnostic Radiology 2163546011 Reassigns benefits to 2 organizations
I20151125001602 MD Practitioner - Diagnostic Radiology 2163546011 Reassigns benefits to 1 organization
I20220315000239 NY Practitioner - Diagnostic Radiology 2163546011 Reassigns benefits to 2 organizations
I20231014000446 DC Practitioner - Diagnostic Radiology 2163546011 Reassigns benefits to 4 organizations
I20250917002936 FL Practitioner - Diagnostic Radiology 2163546011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians
Howard UniversityGroup PAC ID 0941109565, 182 clinicians
Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (904) 399-5550

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

1800 Lakeshore Dr
Fayetteville, NC 28305-5241
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

9533 Devonshire Dr
Huntersville, NC 28078-5868
Phone (904) 399-5550

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

Hospital & facility affiliations

  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210002939DCMDDiagnostic Radiology Physician
9800790NCMDDiagnostic Radiology Physician

Practice roles (20 of 21)

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Jul 2, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 26, 2023 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
TJH Medical Services, P.C. CurrentSince Feb 3, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 26, 2023 Accepting new patients
Lima Memorial Professional Corporation Specialist CurrentSince Jan 24, 2024 Accepting new patients
Howard University Diagnostic Radiology CurrentSince Apr 24, 2025 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Nov 16, 2015 Accepting new patients
Lifebridge Community Physicians, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Sep 30, 2025 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jan 8, 2016 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Jul 2, 2025 Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Howard University Faculty Practice Plan PastSince Jun 15, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Iredell Radiology Associates PA Diagnostic Radiology Past Accepting new patients

Locations (25 of 35)

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#1R84
Washington, DC 20060
Phone (202) 865-3610

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2401 W Belvedere Ave
Baltimore, MD 21215

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

19731 Germantown Rd
Ste 102
Germantown, MD 20874
Phone (301) 444-8700

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

21003 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-0411

46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100

21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rbreckwoldt427745@direct.llu.edu
  • Direct secure messaging: rbreckwoldt1118636@direct.hfhs.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1295737583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9533 DEVONSHIRE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785868",
            "telephone_number": "303-933-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW # 1R84",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200605868",
            "country_code": "US",
            "telephone_number": "202-865-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRECKWOLDT",
        "first_name": "REID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD210002939",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "282090",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9800790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.