Joseph T. Breen, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4481 Issued in CA

Practice address

3798 Janes Rd Ste 9
Arcata, CA 95521-4745

Phone

(707) 599-8677

Fax

(707) 559-8176

NPI assigned

Apr 6, 2007

Last updated

Jun 3, 2019By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Indian Health Services, Inc.Group PAC ID 9830085075, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbreen813491@direct.ochin.org

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.

• United Indian Health Services, Inc.

  • Primary Care Clinic/Center
  • Arcata, CA
  • NPI 1497751572
  Medicare reassignment Care Compare group NPD
• North Coast Podiatry

  • Podiatric Clinic/Center
  • Arcata, CA
  • NPI 1861058737
  Medicare reassignment Authorized official
• United Indian Health Services, Inc.

  • Primary Care Clinic/Center
  • Crescent City, CA
  • NPI 1043216021
  NPD
• United Indian Health Services, Inc.

  • Community Health Clinic/Center
  • Arcata, CA
  • NPI 1699506121
  NPD
• Redwood Podiatry Group

  • Podiatrist
  • Eureka, CA
  • NPI 1790965143
  NPD (past)

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

• American Hospital Management Corporation

  dba Mad River Community Hospital

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare affiliation

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1467574616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "STE 9",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214745",
            "telephone_number": "707-599-8677",
            "fax_number": "707-559-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 9",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214745",
            "telephone_number": "707-599-8677",
            "fax_number": "707-559-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "JOSEPH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "621",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639465206",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831918",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Branson
• David Lee Branson Jr., M.ED. BCBA
• William Robert Bratton, D.D.S.
• Sarah Helen Braun
• Lucia Agnes Brazier-Obannion
• Annette Breshears-McLean
• Jenoa Briar-Bonpane, LICSW
• Kevin L Brink, M.D.
• Jonathan Peter Broadhurst
• Dayna L Brockman, AMFT

• Foot & Ankle Surgery Podiatrist in Arcata, CA
• Providers in Arcata, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.
• 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.