BREECHES BUOY ADDICTION MEDICINE SERVICES – NPI #1962097626
Internal Medicine

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.

BREECHES BUOY ADDICTION MEDICINE SERVICES is a provider located in LUMBERTON, NC. NPPES has assigned the NPI number 1962097626 to BREECHES BUOY ADDICTION MEDICINE SERVICES on March 04, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 2 years ago on Mar 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BREECHES BUOY ADDICTION MEDICINE SERVICES below.

NPI Profile for
BREECHES BUOY ADDICTION MEDICINE SERVICES

NPI Number
1962097626
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BREECHES BUOY ADDICTION MEDICINE SERVICES
Primary location
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone: (910) 536-1689 Fax:
Mailing address
PO BOX 3870
FLORENCE, SC 29502-3870
Phone: Fax:
Organization Subpart
No
Authorized Official
MARLA HARDENBERGH
OWNER
Phone: (208) 578-6110
Updated
Certification Date
Mar 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.