BREECHES BUOY ADDICTION MEDICINE SERVICES NPI 1962097626

NPI Information

  • NPI: 1962097626
  • Provider Name: BREECHES BUOY ADDICTION MEDICINE SERVICES
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 300 W 27TH ST
    LUMBERTON, NC
    ZIP 28358
  • Phone: (910) 536-1689

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NPI Details

BREECHES BUOY ADDICTION MEDICINE SERVICES is an addiction medicine internal medicine in Lumberton, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. BREECHES BUOY ADDICTION MEDICINE SERVICES NPI is 1962097626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 W 27TH ST
LUMBERTON, NC
ZIP 28358-075
Phone: (910) 536-1689

The provider's authorized official is Marla Hardenbergh .
The authorized official title is Owner and has the following contact phone number (208) 578-6110.

The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/20/2024.

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
1207RA0401XInternal MedicineAddiction MedicineYes

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: 3/30/2025

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