Gwenda L Breckler, D.O.
Individual provider Active NPI Family Medicine Physician · Huntingburg, IN
NPI 1356435440 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1356435440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02002504A (IN)
- Practice address
- 1706 Medical Arts Dr Ste 3
Huntingburg, IN 47542-9391 - Phone
- (812) 683-4900
- Fax
- (812) 683-3206
- NPI assigned
- Oct 3, 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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002504A | IN | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002504A | IN | Yes |
Addresses
Primary practice location
1706 Medical Arts Dr Ste 3
Huntingburg, IN 47542-9391
Mailing address
1706 Medical Arts Dr Ste 3
Huntingburg, IN 47542-9391
Phone (812) 683-4900
Other providers in Huntingburg, IN
- Rodney Dale Beeler
- Avery Marie Bell
- Anita K. Blessinger
- Emily Jane Blome
- Adam Joseph Braunecker
- Whitney Blane Buck
- Mary Burgeson
- Pamela A Buss
- Caretenders Visiting Services of Kentuckiana, LLC
- Claridge Chiropractic
All providers in Huntingburg, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 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.