Individual provider Active NPI

Pamela J Breitkopf, M.D.

  • Psychiatry Physician
  • Rochester, MN
National Provider Identifier
1730152497
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
40413 Issued in MN
Practice address
2647 Superior Dr NW Ste 300
Rochester, MN 55901-8523
Phone
(507) 226-8765
Fax
(507) 226-8766
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 40413 MN Primary

Addresses

Primary practice location

2647 Superior Dr NW Ste 300
Rochester, MN 55901-8523

Mailing address

2647 Superior Dr NW Ste 300
Rochester, MN 55901-8523
Phone (507) 226-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 1, 2023 through Feb 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: pamela.netzel.1@15839.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1730152497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 SUPERIOR DR NW STE 300",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018523",
            "telephone_number": "507-226-8765",
            "fax_number": "507-226-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 SUPERIOR DR NW STE 300",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018523",
            "telephone_number": "507-226-8765",
            "fax_number": "507-226-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITKOPF",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "40413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.