Individual provider Active NPI

Sandia Y Brekke, MD

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
National Provider Identifier
1538159587
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
52076 Issued in WI
Practice address
828 Healthy Way Ste 330
Virginia Beach, VA 23462-7959
Phone
(206) 895-4249
NPI assigned
Oct 21, 2005
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 52076 WI Primary
Obstetrics & Gynecology Physician 207V00000X 27361 AZ
Gynecology Physician 207VG0400X CP297 NE
Gynecology Physician 207VG0400X 221602 AK

Addresses

Primary practice location

828 Healthy Way Ste 330
Virginia Beach, VA 23462-7959

Mailing address

11335 NE 122ND Way
Kirkland, WA 98034-6933
Phone (206) 895-4292

Other identifiers 2

IdentifierTypeStateIssuer
35380300MedicaidWI
463456MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, SC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20081017000490 WI Practitioner - Obstetrics/Gynecology 3870553480
I20240904002811 SC Practitioner - Obstetrics/Gynecology 3870553480 Reassigns benefits to 1 organization
I20250520001549 VA Practitioner - Obstetrics/Gynecology 3870553480 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27361AZMDObstetrics & Gynecology Physician
52076WIMDObstetrics & Gynecology Physician
221602AKMDGynecology Physician
CP297NEMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genneve Medical P.C. Gynecology CurrentSince May 7, 2024 Accepting new patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Jun 21, 2024 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince May 9, 2025 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients
Fox Valley Reproductive Medicine, S.C. Obstetrics & Gynecology Past Accepting new patients
Uwh of the Carolinas, PLLC PastSince Jun 21, 2024 Accepting new patients

Locations

200 Perimeter Park Dr
Ste C
Morrisville, NC 27560
Phone (206) 895-4292

5801 Postal Rd
Unit 81847
Cleveland, OH 44181
Phone (561) 849-3534

1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

11335 NE 122nd Way
Kirkland, WA 98034
Phone (206) 895-4292

Interoperability endpoints

  • Direct secure messaging: sandia.brekke.1@26576.direct.athenahealth.com
  • Direct secure messaging: sandia.brekke.1@7773.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1538159587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 NE 122ND WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346933",
            "telephone_number": "206-895-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HEALTHY WAY STE 330",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627959",
            "telephone_number": "206-895-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREKKE",
        "first_name": "SANDIA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "52076",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "27361",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NE",
            "license": "CP297",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AK",
            "license": "221602",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35380300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463456",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.