Active NPI
Anne M Breindel, PA-C
- Medical Physician Assistant
- Saint Marys, PA
National Provider Identifier
1407858277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA002264L
- Practice address
- 761 Johnsonburg Rd
Suite 240
Saint Marys, PA 15857-3483 - Phone
- (814) 834-6565
- Fax
- (814) 834-7424
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA002264L | PA | Primary |
Addresses
Primary practice location
761 Johnsonburg Rd
Suite 240
Saint Marys, PA 15857-3483
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Past | Accepting new patients | |
| Dubois Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1245410554
-
- Pharmacy
- Ridgway, PA
- NPI 1366900458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1407858277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL AVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011440",
"telephone_number": "814-375-4200",
"fax_number": "814-375-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 JOHNSONBURG RD",
"address_2": "SUITE 240",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573483",
"telephone_number": "814-834-6565",
"fax_number": "814-834-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREINDEL",
"first_name": "ANNE",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA002264L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.