SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY
NPI 1609958776
Plastic Surgery in Roanoke, VA

Active since October 19, 2006
2965 COLONNADE DRIVE, SUITE 140, ROANOKE, VA 24018(540) 989-6361(540) 989-6361 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southwest Virginia Center For Cosmetic Plastic & Recon Surgery NPPES

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

SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY (NPI 1609958776) is a healthcare organization registered as a plastic surgery in Roanoke, Virginia and active in the NPI registry since October 2006. The organization lists Michael J Breiner, President, as its authorized official.

NPPES Registry Identity

NPI1609958776
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY
Location Address2965 COLONNADE DRIVE, SUITE 140Roanoke, VA 24018-3541
Mailing Address2965 Colonnade Drive, Suite 140Roanoke, VA 24018-3541 · (540) 989-6361 · Fax (540) 989-8697
Fax(540) 989-6361
Organization SubpartNo
Authorized OfficialMichael J BreinerPresident · (540) 989-6361
Enumeration DateOctober 19, 2006
Last NPPES UpdateApril 11, 2011
NPI 1609958776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in VA · 0101050226
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSpecialistTaxonomy 174400000X · License 0101050226 (VA)
2965 COLONNADE DRIVE, Roanoke, VA 24018

Other Identifiers 10

Other348227Mamsi
Medicare PINC06519
Medicaid06901051VA
Medicare OSCAR/certification240000224
Other323954Anthem
Other089951000Qual Choice
Other240000224United Healthcare
Medicare UPINF65641
OtherAETNA4420846
Other76991Southern Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Southwest Virginia Center For Cosmetic Plastic & Recon Surgery's NPI number?

The NPI number for Southwest Virginia Center For Cosmetic Plastic & Recon Surgery is 1609958776. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Southwest Virginia Center For Cosmetic Plastic & Recon Surgery located?

Southwest Virginia Center For Cosmetic Plastic & Recon Surgery is located at 2965 Colonnade Drive Suite 140, Roanoke, VA 24018. The listed phone number is (540) 989-6361.

What is Southwest Virginia Center For Cosmetic Plastic & Recon Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Southwest Virginia Center For Cosmetic Plastic & Recon Surgery was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.