MARC PHILIP BREIDENBAUGH MD
NPI 1700346764
Allergy & Immunology in Henrico, VA

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment
9920 INDEPENDENCE PARK DR STE 100, HENRICO, VA 23233(804) 285-7420(804) 285-7454 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Mar 24, 2019 (2 updates tracked since 2019).

About Marc Philip Breidenbaugh Md NPPES

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

MARC PHILIP BREIDENBAUGH MD (NPI 1700346764) is an individual allergy & immunology provider in Henrico, Virginia, licensed in Virginia (0101274577) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2019).

NPPES Registry Identity

NPI1700346764
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameMARC PHILIP BREIDENBAUGHCredential: MD
Location Address9920 INDEPENDENCE PARK DR STE 100Henrico, VA 23233-1487
Mailing Address9920 Independence Park Dr Ste 100Henrico, VA 23233-1487 · (804) 726-5141 · Fax (804) 288-3150
Fax(804) 285-7454
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2019
Enumeration DateMarch 24, 2019
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1700346764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in VA · 0101274577
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 0101274577 (VA)
9920 INDEPENDENCE PARK DR STE 100, Henrico, VA 23233

Other Identifiers 1

Other0101274577VA · Va License

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

Marc Philip Breidenbaugh Md 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 ID1456688415
PECOS Enrollment IDI20240828005206
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
9920 INDEPENDENCE PARK DR STE 100
HENRICO, VA 23233
Allergy & Immunology (Allergy)
9920 INDEPENDENCE PARK DR STE 100
HENRICO, VA 23233
Allergy & Immunology (Allergy)
9920 INDEPENDENCE PARK DR STE 100
HENRICO, VA 23233

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 Marc Breidenbaugh's NPI number?

The NPI number for Marc Breidenbaugh is 1700346764. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Marc Breidenbaugh located?

Marc Breidenbaugh practices at 9920 Independence Park Dr Ste 100, Henrico, VA 23233. The listed phone number is (804) 285-7420.

What is Marc Breidenbaugh's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Marc Breidenbaugh enrolled in Medicare?

Yes. Marc Breidenbaugh 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.

When was this NPI record last updated?

The NPPES record for Marc Breidenbaugh was last updated on July 18, 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.