BREAKTHROUGH INTEGRATIVE CARE LLC
NPI 1376226969
Clinic/Center in Nottingham, MD

Active since August 09, 2023
9712 BELAIR RD STE 301, NOTTINGHAM, MD 21236(443) 903-4874(667) 868-0931 Get Directions Write a Review

NPPES record last updated: November 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2023, Aug 9, 2023 (2 updates tracked since 2023).

About Breakthrough Integrative Care Llc NPPES

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

BREAKTHROUGH INTEGRATIVE CARE LLC (NPI 1376226969) is a healthcare organization registered as a clinic/center in Nottingham, Maryland and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Havre De Grace and lists Brian Dynell West-pearson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1376226969
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBREAKTHROUGH INTEGRATIVE CARE LLC
Location Address9712 BELAIR RD STE 301Nottingham, MD 21236-1113
Mailing Address9712 Belair Rd Ste 301Nottingham, MD 21236-1113 · (443) 903-4874 · Fax (667) 868-0931
Fax(667) 868-0931
Organization SubpartNo
Authorized OfficialBrian Dynell West-pearsonNurse Practitioner · (443) 902-1364
Enumeration DateAugust 9, 2023
Last NPPES UpdateNovember 2, 20242 updates tracked since enumeration
NPPES CertifiedNovember 2, 2024
✔ NPI 1376226969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
9712 BELAIR RD STE 301, Nottingham, MD 21236

Secondary Practice Location 1

Location 1517 Dusk View DrHavre DE Grace, MD 21078-2369 · Phone (443) 902-1364

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breakthrough Integrative Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Breakthrough Integrative Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1497268874
517 DUSK VIEW DR
Havre De Grace, MD 21078
(443) 902-1364
✔ PECOS20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Breakthrough Integrative Care LLC's NPI number?

The NPI number for Breakthrough Integrative Care LLC is 1376226969. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Breakthrough Integrative Care LLC located?

Breakthrough Integrative Care LLC is located at 9712 Belair Rd Ste 301, Nottingham, MD 21236. The listed phone number is (443) 903-4874.

What is Breakthrough Integrative Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Breakthrough Integrative Care LLC enrolled in Medicare?

Yes. Breakthrough Integrative Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Breakthrough Integrative Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Breakthrough Integrative Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Breakthrough Integrative Care LLC was last updated on November 2, 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.