Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES W BREEDLOVE, D P M
Deactivated Sole ProprietorJAMES W BREEDLOVE, D P M is a Foot Surgery Podiatrist healthcare provider located in MORRO BAY, California. NPI 1417941907 is deactivated in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · MORRO BAY, CA
This NPI has been deactivated.
The record was deactivated on March 25, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417941907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2005 (0.53972602739726 yrs)
- Last Updated
- Apr 10, 2024
- Deactivated
- Mar 25, 2006
- License
-
E3976 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 MARINA STMORRO BAY, CA, 934422244Browse CA providers · Browse ZIP 93442
- Phone
- 8055433025
- Fax
- 8055432740
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
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.