Warren M Breite, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

075585 Issued in GA

Practice address

1390 Highway 61
Suite 2300
Festus, MO 63028-4137

Phone

(636) 937-3121

Fax

(636) 937-4423

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• W Mark Breite Other name

Medicare fee-for-service enrollment

Enrolled in MO, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: warren.breite@cernerdirect.coxhealth.com

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.

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  • Poplar Bluff, MO
  • NPI 1598710147

  Multi-Specialty

  Medicare reassignment NPD
• Imc-Diagnostic and Medical Clinic LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1447201066

  Multi-Specialty

  Medicare reassignment NPD
• Wiregrass Clinic LLC

  • Neurological Surgery Physician
  • Dothan, AL
  • NPI 1558657890

  Multi-Specialty

  Medicare reassignment NPD
• Pulmonary and Critical Care Associates PC

  • Pulmonary Disease Physician
  • Festus, MO
  • NPI 1508904863

  Multi-Specialty

  NPD Authorized official
• Crystal City Pulmonary Critical Care & Sleep Medicine

  • Pulmonary Disease Physician
  • Festus, MO
  • NPI 1326186602

  Multi-Specialty

  NPD
• Robert Tilley MD LLC

  • Pulmonary Disease Physician
  • Festus, MO
  • NPI 1083957047

  Multi-Specialty

  NPD
• Imc-Diagnostic and Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Saraland, AL
  • NPI 1568235000
  NPD
• Jefferson County Pulmonary & Sleep Medicine

  • Pulmonary Disease Physician
  • Festus, MO
  • NPI 1093853350

  Multi-Specialty

  NPD (past)
• Jefferson Physician Network, LLC

  • Vascular Surgery Physician
  • Festus, MO
  • NPI 1558508606

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1457355372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY 61 STE 2300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284121",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY 61",
            "address_2": "SUITE 2300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032317",
            "country_code": "US",
            "telephone_number": "812-331-3400",
            "fax_number": "812-332-7265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREITE",
        "first_name": "WARREN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "106261",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "G9264",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01038424A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "075585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207728601",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110093731",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "BREITE",
            "middle_name": "MARK",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Neil-Jensen Boyum, MD
• Brad McMillin Inc
• Bradley D Lance, DDS PC
• Curt A Branson
• Jane Elizabeth Breeze, DMD
• Denise Brennan
• Jane Susann Brenneke, MS, LPC
• Rachel Elizabeth Brenner, LCSW
• Jennifer Brewer
• Briccio S. Cadiz, MD PC

• Critical Care Medicine (Internal Medicine) Physician in Festus, MO
• Providers in Festus, MO by specialty
• Critical Care Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.