Bailey Robert Breeden

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008647 Issued in MD

Practice address

9398 Baltimore National Pike
Ellicott City, MD 21042-2802

Phone

(410) 480-9110

NPI assigned

Sep 29, 2022

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bailey.breeden.1@15482.direct.athenahealth.com

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.

• Comprehensive Primary Care and Associates LLC

  dba CloseKnit

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  DC, Family Medicine

  Medicare reassignment Care Compare group NPD
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  DC, MD

  Medicare reassignment Care Compare group
• Montgomery Family Medicine Associates PC

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1972604023

  DC

  Medicare reassignment
• Allcare Ga PC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1972080554
  NPD (past)
• Capital Healthcare PC Dba Allcare

  dba Allcare

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1407162076
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1780308122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9398 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422802",
            "telephone_number": "410-480-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422802",
            "telephone_number": "410-480-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "BAILEY",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2024-08-09",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Elizabeth Bragg, AU.D.
• Brain & Behavior Care LLC
• Jaime Branaman, M.A. CCC-SLP
• Jennifer H Brand, LCSW-C
• Karen Brandt, MSW
• Aliza Breerwood
• Briana Melissa Brennan
• Sandra Ford Brennan, RMP
• Barry Bress
• Sarah Brewer, SLP

• Physician Assistant in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.

Verify at the official NPI Registry.