Individual provider Active NPI

Stephen Daniel Breisach, MD

  • Family Medicine Physician
  • Fort Bragg, NC
National Provider Identifier
1437773884
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-00007 Issued in NC
Practice address
2817 Rock Merritt Rd
Fort Bragg, NC 28310-7301
Phone
(910) 907-8246
Fax
(910) 907-6870
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022-00007 NC Primary

Addresses

Primary practice location

2817 Rock Merritt Rd
Fort Bragg, NC 28310-7301

Mailing address

2817 Rock Merritt Rd
Fort Bragg, NC 28310-7301
Phone (910) 907-8246

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://app.tolsecuremessaging.com
CONNECT URL https://apptolsecuremessaging.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211000837 NC Practitioner - Family Practice 9931575107 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022-00007NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Oct 4, 2024 Accepting new patients
CFV Express Care Billing Services LLC Family Medicine CurrentSince Oct 4, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Family Medicine CurrentSince Oct 4, 2024 Accepting new patients

Locations

6387 Ramsey St
Unit 100
Fayetteville, NC 28311
Phone (910) 615-3879

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1437773884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107301",
            "telephone_number": "910-907-8246",
            "fax_number": "910-907-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107301",
            "telephone_number": "910-907-8246",
            "fax_number": "910-907-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREISACH",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-00007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.tolsecuremessaging.com",
            "affiliation": "N",
            "address_1": "2817 Reilly St",
            "city": "Fort Bragg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283107394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://apptolsecuremessaging.com",
            "affiliation": "N",
            "address_1": "2817 Reilly St",
            "city": "Fort Bragg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283107394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.