Active NPI
Lyle G. Breeding, MD, Facs, PC
- Vascular Surgery Physician
- Columbia, MO
National Provider Identifier
1396797494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- R9N91
- Legal business name
- LYLE G. BREEDING, MD, FACS, PC
- Practice address
- 401 Keene St
Columbia, MO 65201-6625 - Phone
- (573) 874-3300
- Fax
- (573) 876-1663
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyle G. Breeding, MD
- Title
- President
- Phone
- (573) 874-3300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R9N91 | MO | |
| Vascular Surgery Physician | 2086S0129X | R9N91 | MO | Primary |
Addresses
Primary practice location
401 Keene St
Columbia, MO 65201-6625
Mailing address
401 Keene St
Columbia, MO 65201-6625
Phone (573) 874-3300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1396797494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 KEENE ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016625",
"telephone_number": "573-874-3300",
"fax_number": "573-876-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 KEENE ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016625",
"telephone_number": "573-874-3300",
"fax_number": "573-876-1663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYLE G. BREEDING, MD, FACS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BREEDING",
"authorized_official_first_name": "LYLE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-874-3300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "MO",
"license": "R9N91",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "R9N91",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.