BREANNA TOMLIN MD
NPI 1265878631
Obstetrics & Gynecology in Boulder, CO

Q: What is Breanna Tomlin's NPI number?

The NPI number for Breanna Tomlin is 1265878631. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Q: What is Breanna Tomlin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Tomlin was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 13, 2013PECOS Enrolled

2525 13TH ST, BOULDER, CO 80304(303) 449-6050(720) 565-4132 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 19, 2021, Jun 16, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Breanna Tomlin Md NPPES

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

BREANNA TOMLIN MD (NPI 1265878631) is an individual obstetrics & gynecology provider in Boulder, Colorado, licensed in Colorado (DR.0058836) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1265878631

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameBREANNA TOMLINCredential: MD

Location Address2525 13TH STBoulder, CO 80304-4104

Mailing Address1735 S Public Rd Ste 203Lafayette, CO 80026-7093 · (303) 665-3036 · Fax (303) 665-3397

Phone(303) 449-6050

Fax(720) 565-4132

Sole ProprietorYes

Enumeration DateMay 13, 2013

Last NPPES UpdateMay 19, 20214 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1265878631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CO · DR.0058836✔ Licensed in TX · BP10046469

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2525 13TH ST, Boulder, CO 80304

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Secondary Practice Location 1

Location 11441 N Beckley AveDallas, TX 75203-1201 · Phone (214) 947-2331 · Fax (214) 947-6753

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Tomlin Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THUY MCKITRICK PHARMD

Pharmacist (Ambulatory Care)