Patricia Breaziel
Individual provider Active NPI Driver · Indianapolis, IN
NPI 1669864765 · NPPES record last updated Feb 26, 2015
Key facts
- NPI
- 1669864765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 8557 Bash St Ste 106
Indianapolis, IN 46250-5524 - Phone
- (317) 970-2183
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Developmental Services LLC | Current | Accepting new patients | |
| Residential Dialysis Solutions LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
8557 Bash St Ste 106
Indianapolis, IN 46250-5524
Mailing address
8557 Bash St Ste 106
Indianapolis, IN 46250-5524
Phone (317) 970-2183
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.