BREECHES BUOY ADDICTION MEDICINE SERVICES
NPI 1962097626
Internal Medicine - Addiction Medicine in Lumberton, NC

Active since March 04, 2021
300 W 27TH ST, LUMBERTON, NC 28358(910) 536-1689 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Mar 4, 2021 (2 updates tracked since 2021).

About Breeches Buoy Addiction Medicine Services NPPES

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

BREECHES BUOY ADDICTION MEDICINE SERVICES (NPI 1962097626) is a healthcare organization registered as an addiction medicine in Lumberton, North Carolina and active in the NPI registry since March 2021. The organization lists Marla Hardenbergh, Owner, as its authorized official.

NPPES Registry Identity

NPI1962097626
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameBREECHES BUOY ADDICTION MEDICINE SERVICES
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing AddressPo Box 3870Florence, SC 29502-3870
Organization SubpartNo
Authorized OfficialMarla HardenberghOwner · (208) 578-6110
Enumeration DateMarch 4, 2021
Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
NPI 1962097626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
300 W 27TH ST, Lumberton, NC 28358

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Anesthesiology (Pain Medicine)
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358

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 Breeches Buoy Addiction Medicine Services's NPI number?

The NPI number for Breeches Buoy Addiction Medicine Services is 1962097626. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Breeches Buoy Addiction Medicine Services located?

Breeches Buoy Addiction Medicine Services is located at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 536-1689.

What is Breeches Buoy Addiction Medicine Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

What insurance does Breeches Buoy Addiction Medicine Services accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Breeches Buoy Addiction Medicine Services 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 Breeches Buoy Addiction Medicine Services was last updated on March 20, 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.