Active NPI
McKenna Marie Breiner, PA
- Medical Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390 - Phone
- (214) 648-2509
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390
Mailing address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (832) 928-2176
Other practice location 1
62 Pagehurst Ct
The Woodlands, TX 77382-2548
Phone (832) 928-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13621 Skinner Rd
Suite 100
Cypress, TX 77429-7283
Phone (281) 754-3034
14099 FM 2920 Rd
Suite a
Tomball, TX 77377-5546
Phone (281) 803-9828
8850 Spencer Hwy
La Porte, TX 77571-3736
Phone (281) 946-9980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Southlake Doctors Express, PA PSC | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Doctors Express of the Temple Area, PA | Past | Accepting new patients |
Locations
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Urgent Care Clinic/Center
- Southlake, TX
- NPI 1942519335
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1205880036
-
- Urgent Care Clinic/Center
- Temple, TX
- NPI 1568696227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1679043897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907201",
"telephone_number": "832-928-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75390",
"telephone_number": "214-648-2509"
}
],
"practiceLocations": [
{
"address_1": "62 Pagehurst Ct",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773822548",
"country_code": "US",
"telephone_number": "832-928-2176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREINER",
"first_name": "MCKENNA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.