GARRETT MIKEL BREAZEALE PA
NPI 1760063481
Physician Assistant - Medical in Aurora, CO

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since April 15, 2021PECOS Enrolled

13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2024, Sep 16, 2021, Apr 15, 2021 (3 updates tracked since 2021).

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About Garrett Mikel Breazeale Pa NPPES

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

GARRETT MIKEL BREAZEALE PA (NPI 1760063481) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0007021) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760063481

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGARRETT MIKEL BREAZEALECredential: PA

Location Address13123 E 16TH AVEAurora, CO 80045-7106

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 777-1234

Sole ProprietorNo

Enumeration DateApril 15, 2021

Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1760063481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0007021

Also ListedPhysician AssistantTaxonomy 363A00000X

13123 E 16TH AVE, Aurora, CO 80045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garrett Mikel Breazeale Pa 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.