Stefan Friedrich Brecke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110840823 Issued in VA

Practice address

2000 Meade Pkwy
Suffolk, VA 23434-4259

Phone

(757) 539-0251

Fax

(757) 934-9409

NPI assigned

Apr 27, 2006

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Home Care Services-Suffolk Home health agency, Suffolk, VA, CCN 497746
• Lake Prince at Home LLC Home health agency, Suffolk, VA, CCN 497763
• Albemarle Home Care and Hospice Home health agency, Elizabeth City, NC, CCN 347017
• Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
• Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stefan.brecke@bayview.eclinicaldirectplus.com

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.

• Bayview Physician Services, PC

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1508813387
  Medicare reassignment Care Compare group NPD
• Bayview Medical Center, Inc

  dba LMC Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Suffolk, VA
  • NPI 1568466209
  NPD
• Bayview Physician Services, PC

  dba LMC Radiology

  • Radiology Clinic/Center
  • Suffolk, VA
  • NPI 1699865626
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours Mercy Health Franklin LLC

  dba Bon Secours - Southampton Medical Center

  • General Acute Care Hospital
  • Franklin, VA
  • NPI 1851936983
  Care Compare affiliation
• Lake Prince at Home LLC

  • Home Health Agency
  • Suffolk, VA
  • NPI 1932601747
  Care Compare affiliation
• Sentara Enterprises

  dba Sentara Home Care Services - Suffolk

  • Home Health Agency
  • Suffolk, VA
  • NPI 1174060214
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Obici Hospital

  • General Acute Care Hospital
  • Suffolk, VA
  • NPI 1376540138
  Care Compare affiliation
• Msa Home Health and Hospice of NC Inc

  dba Albemarle Home Care and Hospice

  • Home Health Agency
  • Elizabeth City, NC
  • NPI 1588037980
  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1457318040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEADE PKWY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-539-0251",
            "fax_number": "757-934-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKE",
        "first_name": "STEFAN",
        "middle_name": "FRIEDRICH",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922951",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970009887",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Bradford, LPC
• Brainbridge Connect LLC
• Carlos D Branch
• Branchaud Behavioral Therapy
• Sharon Staten Brashear, CNM
• Andrea Breckner, PT
• Brandi Robin Brehon
• Kelli Charlene Brezovic, PA-C
• Brian Cross LLC Dba Crosscare Logistics
• Bridge to Life

• Physician Assistant in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.