Leigh A Breznay, PA-C, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104148 Issued in FL

Practice address

7125 Murrell Rd
Melbourne, FL 32940-7999

Phone

(321) 242-8790

Fax

(321) 751-9362

NPI assigned

Oct 9, 2006

Last updated

Mar 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dermatologists of Southwestern Ohio, LLC.

  dba Dermatologists of Southwest Ohio, LLC

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  NPD (past)
• Miami Valley Plastic Surgeons, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Dayton, OH
  • NPI 1093837569
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1396832440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 MONDAVI DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555188",
            "telephone_number": "321-242-8790",
            "fax_number": "321-751-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MURRELL RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407999",
            "telephone_number": "321-242-8790",
            "fax_number": "321-751-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZNAY",
        "first_name": "LEIGH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "2496",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAX00007028",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIBING LICENSE",
            "identifier": "7028",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "9104148",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brevard Universal Clinical Services, LLC
• Brevard Wellness Center LLC (Space Coast Wellness Center)
• Brevard Wound Care Center, LLC
• Amanda Brezina
• Chad Breznay, PSYD
• Brian J Mallette DPM LLC
• Colleen Patricia Briand, NP-C
• Briant G. Moyles D.P.M., P.a. (Melbourne Podiatry Associates)
• Matthew Edward Brice, D.O.
• Rajmohan Bridgelal, RPH

• Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.