Breakthrough Integrative Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BREAKTHROUGH INTEGRATIVE CARE LLC

Practice address

9712 Belair Rd Ste 301
Nottingham, MD 21236-1113

Phone

(443) 903-4874

Fax

(667) 868-0931

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Brian Dynell West-PearsonNPI 1497268874

Title

Nurse Practitioner

Phone

(443) 902-1364

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian West-Pearson, DNP, CRNP

  • Family Nurse Practitioner
  • Havre de Grace, MD
  • NPI 1497268874
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1376226969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 301",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361113",
            "telephone_number": "443-903-4874",
            "fax_number": "667-868-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 301",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361113",
            "telephone_number": "443-903-4874",
            "fax_number": "667-868-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Dusk View Dr",
            "address_purpose": "LOCATION",
            "city": "Havre DE Grace",
            "state": "MD",
            "postal_code": "210782369",
            "country_code": "US",
            "telephone_number": "443-902-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKTHROUGH INTEGRATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "WEST-PEARSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DYNELL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-902-1364"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gay Bordwine-Lieb, LCSW-C
• Anjolaoluwa Bosede
• Danielle Bostic, LCSW-C
• Christina Marie Boyd, MD
• Monique Boyd, LCSW-C
• Breakthrough Rehab Therapy
• Ladamoneek Brennan
• Joshua Brenner
• Bridging Gaps Through Positive Solutions
• Bridging Gaps Through Positive Solutions

• Clinic/Center in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.