Patricia A Breeden, MD
Individual provider Active NPI Emergency Medicine Physician · Shiprock, NM
NPI 1346266236 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346266236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 37425 (CO)
- Practice address
- US Hwy 491 North
Shiprock, NM 87420 - Phone
- (505) 368-6020
- Fax
- (505) 368-6431
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37425 | CO | Yes |
Addresses
Primary practice location
US Hwy 491 North
Shiprock, NM 87420
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 634297 | Medicaid | AZ | |
| N1733 | Medicaid | NM | |
| 34385584 | Medicaid | CO |
Other providers in Shiprock, NM
- Floyd P Bond
- Jennifer L Bongartz
- Daniel Bordatto
- Krupa Patel Bordatto
- Michelle Rae Brandser
- Marie Brown-Wagner
- Arlene Nakai Brown
- Judy L Brown
- Sidney Ann Brown
- Yolanda K Brown
All providers in Shiprock, NM · Emergency Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.