Breakaway Functional Medicine

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BREAKAWAY FUNCTIONAL MEDICINE

Practice address

319 S Mandan St
Bismarck, ND 58504-5558

Phone

(480) 262-0249

NPI assigned

Apr 15, 2026

Last updated

Apr 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Austin Mill, NPNPI 1174386940

Title

Owner

Phone

(480) 262-0249

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Austin Mill, ACNP-BC

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1174386940
  NPD Authorized official

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1780528307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 BAYVIEW CT",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047087",
            "telephone_number": "480-262-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANDAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045558",
            "telephone_number": "480-262-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKAWAY FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "MILL",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-262-0249",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Lynn Braun, NP
• Josephine Braun, LBSW, TCM
• Kristin Braun, FNP
• Mandi L Braun, PA-C
• Madison Lauren Brazeel, MS, CCC-SLP
• Breaking Barriers Therapy, PLLC
• Breakthrough Counseling Services PLLC
• Zoie B Breckheimer, OTR/L
• Sarah Breen, PA-C
• Jesse Lee Breidenbach, PHARM D

• Nurse Practitioner in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.