Active NPI
Richard Alan Breeden, DPM
- Primary Podiatric Medicine Podiatrist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 0570
- Practice address
- 3601 TVC
Nashville, TN 37232-0001 - Phone
- (615) 322-3000
- NPI assigned
- Oct 11, 2006
- Last updated
- Oct 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0570 | TN | Primary |
Addresses
Primary practice location
3601 TVC
Nashville, TN 37232-0001
Mailing address
3601 TVC
Nashville, TN 37232-0001
Phone (615) 322-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4060641 | Other | TN | BCBS PROVIDER # |
| 0570 | Other | TN | MEDICAL LICENSE # |
| 3353846 | Medicaid | TN | |
| P00014087 | Other | TN | RAILROAD MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 Williamsburg W CT
Nashville, TN 37221-2609
Phone (615) 330-7527
6140 E Brainerd Rd
Chattanooga, TN 37421-3910
Phone 24852821166
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1292 |
| Removal or shaving of skin growth | 119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Podiatry LLC | Current | Accepting new patients | |
| Special Care Podiatry of Tennessee, LLC | Current | Accepting new patients | |
| American Home Podiatry LTD. Inc. | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
832 Wedgewood Ave
Nashville, TN 37203
Phone (615) 202-4233
Interoperability endpoints
- https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Chattanooga, TN
- NPI 1780072371
-
- Podiatric Clinic/Center
- Nashville, TN
- NPI 1376713701
-
- Podiatrist
- Palatine, IL
- NPI 1104858984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1659460699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 TVC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320001",
"telephone_number": "615-322-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 TVC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320001",
"telephone_number": "615-322-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDEN",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "TN",
"license": "0570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "4060641",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "0570",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3353846",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "P00014087",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.