DR. BREANNA A NGUYEN MD
NPI 1619692795
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Breanna Nguyen's NPI number?

The NPI number for Breanna Nguyen is 1619692795. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Q: What is Breanna Nguyen'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 Breanna Nguyen was last updated on May 8, 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.

Active since October 11, 2022PECOS Enrolled

600 N WOLFE STREET, BALTIMORE, MD 21264(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Mar 21, 2023, Oct 11, 2022 (3 updates tracked since 2022).

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About Dr. Breanna A Nguyen Md NPPES

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

DR. BREANNA A NGUYEN MD (NPI 1619692795) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1619692795

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. BREANNA A NGUYENCredential: MD

Location Address600 N WOLFE STREETBaltimore, MD 21264-2500

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423

Phone(410) 955-5000

Sole ProprietorNo

Enumeration DateOctober 11, 2022

Last NPPES UpdateMay 8, 20243 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1619692795 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.

600 N WOLFE STREET, Baltimore, MD 21264

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2500 · Phone (434) 924-1931 · Fax (434) 244-4451

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. Breanna A Nguyen 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.

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.

HAVISHA GADEPALLI MD

Family Medicine