WARREN MARK BREISBLATT MD NPI 1063413177

NPI Information

NPI: 1063413177
Provider Name: WARREN MARK BREISBLATT, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
9250 N. 3RD STREET
SUITE 3010
PHOENIX, AZ
ZIP 85020
Phone: (602) 861-1168
Get Directions

Warren Mark Breisblatt, MD is an interventional cardiology internal medicine in Phoenix, AZ. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Warren Mark Breisblatt, MD NPI is 1063413177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9250 N. 3RD STREET
SUITE 3010
PHOENIX, AZ
ZIP 85020-425
Phone: (602) 861-1168
Fax: (602) 861-1763

The NPI 1063413177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 9/25/2013.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	24667	ARIZONA	No
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	24667	ARIZONA	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	24667	ARIZONA	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
1	B41649	MEDICARE UPIN
2	370247	MEDICAID	ARIZONA
3	Z69037	MEDICARE PIN	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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