Individual provider Active NPI

Breana Lyn Doyle, PA

  • Medical Physician Assistant
  • Stamford, CT
National Provider Identifier
1669000170
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4767 Issued in CT
Practice address
999 Summer St Ste 401
Stamford, CT 06905-5513
Phone
(203) 353-9099
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4767 CT Primary
Physician Assistant 363A00000X 4767 CT

Addresses

Primary practice location

999 Summer St Ste 401
Stamford, CT 06905-5513

Mailing address

51 Eastfield Dr
Fairfield, CT 06825-1116
Phone (845) 519-4999

Other names 1

  • Breana Lyn Brehm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721001221 CT Practitioner - Physician Assistant 4789008939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Obstetrics and GynecologyGroup PAC ID 6901052414, 5 clinicians

Practice addresses (Care Compare)

999 Summer St
Suite 401
Stamford, CT 06905-5513
Phone (203) 353-9099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4767CTMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince May 22, 2020 Accepting new patients
Yale University Emergency Medicine CurrentSince May 22, 2020 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1669000170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 EASTFIELD DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251116",
            "telephone_number": "845-519-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST STE 401",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055513",
            "telephone_number": "203-353-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "BREANA",
        "middle_name": "LYN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "4767",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANA",
            "last_name": "BREHM",
            "middle_name": "LYN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.