DREW BREEDLOVE
NPI 1629823323
Student in an Organized Health Care Education/Training Program in Tahlequah, OK

Active since April 17, 2024PECOS EnrolledAccepts Medicare Assignment
1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 444-4000 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Drew Breedlove NPPES

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

DREW BREEDLOVE (NPI 1629823323) is an individual student in an organized health care education/training program in Tahlequah, Oklahoma and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629823323
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDREW BREEDLOVE
Location Address1001 N GRAND AVETahlequah, OK 74464-7017
Mailing Address4824 W Dallas StBroken Arrow, OK 74012-8718 · (918) 706-4862
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1629823323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1001 N GRAND AVE, Tahlequah, OK 74464

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Drew Breedlove is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759898216
PECOS Enrollment IDI20250729002954
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.

Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist (Low Vision Rehabilitation)
1001 N GRAND AVE
TAHLEQUAH, OK 74464

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 Drew Breedlove's NPI number?

The NPI number for Drew Breedlove is 1629823323. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Drew Breedlove located?

Drew Breedlove practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 444-4000.

What is Drew Breedlove's specialty?

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

Is Drew Breedlove enrolled in Medicare?

Yes. Drew Breedlove is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Drew Breedlove accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Drew Breedlove as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Drew Breedlove was last updated on April 17, 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.