Active NPI
James Breen, PA-C
- Medical Physician Assistant
- Dunedin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9105132
- 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
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 | 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Palm Harbor Dermatology PA | Past | 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.
-
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
- Dermatology Physician
- Clermont, FL
- NPI 1144488628
-
- Dermatology Physician
- Tampa, FL
- NPI 1558448522
-
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
-
- Dermatology Physician
- Palm Harbor, FL
- NPI 1497927016
-
- Procedural Dermatology Physician
- Dunedin, FL
- NPI 1629281472
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.