Individual provider Active NPI

Robert Anthony Breiner, DPM

  • Primary Podiatric Medicine Podiatrist
  • Annandale, VA
National Provider Identifier
1891763447
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0103000805 Issued in VA
Practice address
5105 Backlick Rd
Unit S
Annandale, VA 22003-6005
Phone
(703) 941-7770
Fax
(703) 941-7771
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0103000805 VA Primary
Foot Surgery Podiatrist 213ES0131X 0103000805 VA

Addresses

Primary practice location

5105 Backlick Rd
Unit S
Annandale, VA 22003-6005

Mailing address

5105 Backlick Rd
Unit S
Annandale, VA 22003-6005
Phone (703) 941-7770

Other identifiers 1

IdentifierTypeStateIssuer
9301615MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070126000132 DC Practitioner - Podiatry 8325049836 Reassigns benefits to 1 organization
I20100624000808 VA Practitioner - Podiatry 8325049836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert a Breiner PCGroup PAC ID 1153322664, 2 clinicians

Practice addresses (Care Compare)

5105 Backlick Rd
S
Annandale, VA 22003-6005

5105 Backlick Rd S
Annandale, VA 22003-6005
Phone (703) 941-7770

5105 S Backlick Rd
Annandale, VA 22003-6075

Merit-based Incentive Payment System (MIPS)

Final score
68.83 of 100Reported as individual
Quality
38.33
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue6069
Removal or shaving of skin growth224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Breiner PC Primary Podiatric Medicine CurrentSince Feb 28, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21432/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.breiner.2@21432.direct.athenahealth.com

Organizations & group practices 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1891763447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 BACKLICK RD",
            "address_2": "UNIT S",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-941-7770",
            "fax_number": "703-941-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 BACKLICK RD",
            "address_2": "UNIT S",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-941-7770",
            "fax_number": "703-941-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINER",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103000805",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103000805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9301615",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.