Active NPI
Breanne Michelle Jacobs, MD
- Emergency Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101262240
- Practice address
- 2120 L St NW Ste 450
Washington, DC 20037 - Phone
- (202) 741-2904
- Fax
- (202) 741-2921
- NPI assigned
- Apr 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD046785 | DC | |
| Emergency Medicine Physician | 207P00000X | 0101262240 | VA | Primary |
Addresses
Primary practice location
2120 L St NW Ste 450
Washington, DC 20037
Mailing address
2120 L St NW Ste 450
Washington, DC 20037-1541
Other practice location 1
49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone (404) 251-8865
Other practice location 2
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8000
Other practice location 3
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8000
Other names 1
- Breanne Michelle Bailey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300
900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
Hospital & facility affiliations
- Uva Health Haymarket Medical Center
- George Washington Univ Hospital
- Uva Health Prince William Medical Center
- Cedar Hill Regional Medical Center
- University of MD Capital Region Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD046785 | DC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Single Specialty | Current | Accepting new patients |
| Cep America LLC | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Single Specialty | Current | Accepting new patients |
| Upper Chesapeake Emergency Medicine Physicians, LLC | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Single Specialty | Current | Accepting new patients |
| Arnot Medical Services PLLC | Single Specialty | Past | Accepting new patients |
| Memn Hospitalists, LLC | Single Specialty | Past | Accepting new patients |
| Medical Faculty Associates, Inc. | Single Specialty | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422
9970 Central Park Blvd N
Ste 101
Boca Raton, FL 33428
Phone (561) 488-2700
15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511
20010 Century Blvd
Ste 200
Germantown, MD 20874
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Interoperability endpoints
- bjacobs925238@direct.umm.edu
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Single Specialty
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, Single Specialty
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
Single Specialty
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1831564657
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1285854026
Single Specialty
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1619348349
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Washington, DC
- NPI 1285492892
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1962820910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 L ST NW STE 450",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 L ST NW STE 450",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20037",
"telephone_number": "202-741-2904",
"fax_number": "202-741-2921"
}
],
"practiceLocations": [
{
"address_1": "49 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033049",
"country_code": "US",
"telephone_number": "404-251-8865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Sudley Rd",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104418",
"country_code": "US",
"telephone_number": "703-369-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Sudley Rd",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104418",
"country_code": "US",
"telephone_number": "703-369-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "BREANNE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DC",
"license": "MD046785",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101262240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNE",
"last_name": "BAILEY",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.