Individual provider Active NPI

Robert W. Breen, D.C.

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1609977982
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000765 Issued in VA
Practice address
8565 Sudley Rd Ste a
Manassas, VA 20110-3864
Phone
(703) 368-4040
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000765 VA Primary

Addresses

Primary practice location

8565 Sudley Rd Ste a
Manassas, VA 20110-3864

Mailing address

8565 Sudley Rd Ste a
Manassas, VA 20110-3864
Phone (703) 368-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000890 VA Practitioner - Chiropractic 2466483326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Holiday CT
Suite 206
Warrenton, VA 20186-4349
Phone (540) 349-7744

8565 Sudley Rd
Suite a
Manassas, VA 20110-3864
Phone (703) 368-4040

8565 Sudley Rd a
Manassas, VA 20110-3864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breen Chiropractic Clinic, PC Chiropractor CurrentSince May 1, 2010 Accepting new patients
Warrenton Chiropractic Center, LLC Chiropractor CurrentSince Apr 1, 2011 Accepting new patients
Prince William Physical Therapy, LLC PastSince Aug 31, 2010 Accepting new patients

Locations

8565 Sudley Rd
Ste A
Manassas, VA 20110
Phone (703) 361-3255

400 Holiday Ct
Ste 206
Warrenton, VA 20186
Phone (540) 349-7744

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1609977982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103864",
            "telephone_number": "703-368-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103864",
            "telephone_number": "703-368-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.