MARC PHILIP BREIDENBAUGH MD NPI 1700346764

NPI Information

  • NPI: 1700346764
  • Provider Name: MARC PHILIP BREIDENBAUGH, MD
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9920 INDEPENDENCE PARK DR STE 100
    HENRICO, VA
    ZIP 23233
  • Phone: (804) 285-7420

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NPI Details

Marc Philip Breidenbaugh, MD is an allergy immunology in Henrico, VA with 7 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Marc Philip Breidenbaugh, MD NPI is 1700346764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

9920 INDEPENDENCE PARK DR STE 100
HENRICO, VA
ZIP 23233-487
Phone: (804) 285-7420
Fax: (804) 285-7454

The NPI 1700346764 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 3/24/2019 and was last updated on 7/18/2024.

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
1208000000XPediatrics0101274577VIRGINIANo
2207K00000XAllergy & Immunology0101274577VIRGINIAYes

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
10101274577OTHERVIRGINIAVA LICENSE

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: 11/21/2025

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