Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT CLAYTON BREEDLOVE, PA-C
Active Sole ProprietorBRENT CLAYTON BREEDLOVE, PA-C is a Physician Assistant healthcare provider located in WINSTON SALEM, North Carolina. NPI 1417525304 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1417525304
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2021 (5.1505075057165 yrs)
- Last Updated
- Dec 24, 2024
- Licenses
-
0010-11324 (NC)001011324 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
MEDICAL CENTER BLVDWINSTON SALEM, NC, 271579733Browse NC providers · Browse ZIP 27157
- Phone
- 3367166674
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Family Medicine
Other Physician Assistant Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| MARILYN KAY MULLANE | PA-C | 1821091547 |
| MS. JOY LISA CSIKOS | PA-C | 1700880440 |
| DENNIS GEORGE LERIS | PA-C | 1629074323 |
| RYAN ANGUS MCDONALD | PA-C | 1972503449 |
| WILBERT C DILLARD | PAC | 1932191145 |
| MRS. KIMBERLEE BANKS BLAYLOCK | P.A.-C | 1225024029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.