DR. BREANDAN MICHAEL OATMAN DO
NPI 1124812664
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Breandan Oatman's NPI number?

The NPI number for Breandan Oatman is 1124812664. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Q: What is Breandan Oatman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Breandan Oatman was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2025PECOS Enrolled

3990 JOHN R ST, DETROIT, MI 48201(313) 745-7233(313) 993-3889 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Breandan Michael Oatman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BREANDAN MICHAEL OATMAN DO (NPI 1124812664) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124812664

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BREANDAN MICHAEL OATMANCredential: DO

Location Address3990 JOHN R STDetroit, MI 48201-2059

Mailing Address42584 Plymouth Hollow DrPlymouth, MI 48170-2566

Phone(313) 745-7233

Fax(313) 993-3889

Sole ProprietorNo

Enumeration DateApril 8, 2025

NPPES CertifiedApril 8, 2025

✔ NPI 1124812664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3990 JOHN R ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Breandan Michael Oatman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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