BREEZEWOOD FAMILY HEALTHCARE PA NPI 1356404453

NPI Information

NPI: 1356404453
Provider Name: BREEZEWOOD FAMILY HEALTHCARE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 FORSYTHE ST
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 485-0700
Get Directions

BREEZEWOOD FAMILY HEALTHCARE, PA is a family medicine in Fayetteville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BREEZEWOOD FAMILY HEALTHCARE, PA NPI is 1356404453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 FORSYTHE ST
FAYETTEVILLE, NC
ZIP 28303-426
Phone: (910) 485-0700
Fax: (910) 483-9572

The provider's authorized official is Michael J. Jansen .
The authorized official title is Administrator and has the following contact phone number (910) 485-0700.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		116914	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017EM	OTHER	NORTH CAROLINA	BCBSNC GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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