Individual provider Active NPI

Michael P Breen, MD

  • Diagnostic Radiology Physician
  • Gainesville, FL
National Provider Identifier
1346235801
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME88652 Issued in FL
Practice address
6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201
Phone
(352) 331-9729
Fax
(352) 331-0136
NPI assigned
Sep 12, 2005
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME88652 FL
Diagnostic Radiology Physician 2085R0202X MD060346L PA
Diagnostic Radiology Physician 2085R0202X ME88652 FL Primary

Addresses

Primary practice location

6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201

Mailing address

6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

Other identifiers 2

IdentifierTypeStateIssuer
005970900MedicaidFL
00016217410009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, NJ, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070905000089 NC Practitioner - Diagnostic Radiology 7113812306 Reassigns benefits to 3 organizations
I20120614000279 FL Practitioner - Diagnostic Radiology 7113812306 Reassigns benefits to 6 organizations
I20240108004157 NJ Practitioner - Diagnostic Radiology 7113812306 Reassigns benefits to 2 organizations
I20260507001881 VA Practitioner - Diagnostic Radiology 7113812306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
North Florida Outpatient Imaging Center LTDGroup PAC ID 5991786410, 25 clinicians
Doctors Radiology Group of Gainesville LLCGroup PAC ID 4789692328, 33 clinicians

Practice addresses (Care Compare)

Charlotte, NC 28269
Phone (732) 369-5994

6605 NW 9TH Blvd
Gainesville, FL 32605-4206
Phone (352) 333-4703

6716 NW 11TH PL
Suite 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

99 Hwy 37 W
Community Medical Center
Toms River, NJ 08755-6423
Phone (732) 557-8000

9903 Nicole LN
Charlotte, NC 28269-6259
Phone (813) 501-8408

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30317SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Mar 1, 2020 Accepting new patients
Doctors Imaging Group LLC Neuroradiology CurrentSince Oct 1, 2021 Accepting new patients
Doctors Radiology Group of Gainesville LLC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 21, 2018 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
North Florida Outpatient Imaging Center LTD CurrentSince Oct 15, 2021 Accepting new patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Nov 28, 2023 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Nov 28, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 21, 2018 Accepting new patients
Cardiomedical Assoc, LTD. Past Accepting new patients
Largo Radiology Consultants, PA Neuroradiology Past Accepting new patients
Hillsborough Radiology Consultants, PL Neuroradiology Past Accepting new patients
South Hills Radiology Associates Diagnostic Radiology PastSince Apr 11, 2021 Accepting new patients
Mecklenburg Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Central Florida Imaging Associates, LLC Neuroradiology Past Accepting new patients
Largo Radiology Consultants Past Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients
St Clair Hospital Upmc Cancer Center Petct Past Accepting new patients
Central Florida Imaging Associates Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6605 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-4676

6716 NW 11th Pl
Ste 200
Gainesville, FL 32605

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

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

6121 Saint Johns Ave
Palatka, FL 32177
Phone (386) 326-0077

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

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

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

Organizations & group practices 22

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.

View all 22

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1346235801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME88652",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD060346L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME88652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005970900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016217410009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.