Individual provider Active NPI

James Breen, PA-C

  • Medical Physician Assistant
  • Dunedin, FL
National Provider Identifier
1851692800
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105132 Issued in FL
Practice address
1022 Main St Ste R
Dunedin, FL 34698-5225
Phone
(727) 734-6710
Fax
(727) 734-6712
NPI assigned
Nov 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9105132 FL Primary

Addresses

Primary practice location

1022 Main St Ste R
Dunedin, FL 34698-5225

Mailing address

1022 Main St Ste R
Dunedin, FL 34698-5225
Phone (727) 734-6710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110414000930 FL Practitioner - Physician Assistant 1658555677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1503 Buenos Aires Blvd
Suite 100
The Villages, FL 32159-6825
Phone (352) 753-2812

8209 State Rd
Suite 54
New Port Richey, FL 34655-3016
Phone (727) 569-1055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Oct 6, 2012 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Oct 6, 2012 Accepting new patients
Palm Harbor Dermatology PA PastSince Nov 20, 2017 Accepting new patients
Leavitt Medical Associates of Florida Inc Past Accepting new patients
Thomas J Sultenfuss MD PA Past Accepting new patients
Center for Dermatology and Skin Surgery Inc Past Accepting new patients

Locations

26344 US Highway 19 N
Clearwater, FL 33761
Phone (727) 669-3676

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

8209 State Road 54
New Prt Rchy, FL 34655
Phone (727) 569-1055

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1851692800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST STE R",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985225",
            "telephone_number": "727-734-6710",
            "fax_number": "727-734-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST STE R",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985225",
            "telephone_number": "727-734-6710",
            "fax_number": "727-734-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.