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DR. BREANNE MORGAN KOTHE DO
NPI 1265292015
Student in an Organized Health Care Education/Training Program in Fort Walton Beach, FL

Active since March 20, 2024PECOS Enrolled
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 862-1111 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Breanne Morgan Kothe Do NPPES

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

DR. BREANNE MORGAN KOTHE DO (NPI 1265292015) is an individual student in an organized health care education/training program in Fort Walton Beach, Florida and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265292015
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BREANNE MORGAN KOTHECredential: DO
Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708
Mailing Address1000 Mar Walt DrFort Walton Beach, FL 32547-6708 · (850) 862-1111
Phone(850) 862-1111
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1265292015 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.
1000 MAR WALT DR, Fort Walton Beach, FL 32547
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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. Breanne Morgan Kothe 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.

DEANNA RUTH ANDERSON
Dietitian, Registered
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
DR. JESSICA AMANDA RAMBHAROSE MD
Student in an Organized Health Care Education/Training Program
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 969-4500
MRS. ANDREA M PERSON PA
Physician Assistant
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
ANESTHESIA PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC
Anesthesiology
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (954) 939-5000
BRITTANY NICOLE GRIMES FNP-C
Nurse Practitioner
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
DR. MICHAEL C WILLIAMS MD
Emergency Medicine
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-7607
DEVON N JERNIGAN PT, DPT
Physical Therapist
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
FORT WALTON BEACH MEDICAL CENTER, INC.
Rehabilitation Unit
1000 MAR WALT DR
FT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanne Kothe's NPI number?

The NPI number for Breanne Kothe is 1265292015. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Breanne Kothe located?

Breanne Kothe practices at 1000 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-1111.

What is Breanne Kothe's specialty?

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

Is Breanne Kothe enrolled in Medicare?

Yes. Breanne Kothe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanne Kothe was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.