| Marc Philip Breidenbaugh, MD | |
|
9920 Independence Park Dr Ste 100, Henrico, VA 23233-1487 | |
| (804) 285-7420 | |
| (804) 285-7454 |
| Full Name | Marc Philip Breidenbaugh |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 9920 Independence Park Dr Ste 100, Henrico, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700346764 | NPI | - | NPPES |
| 0101274577 | Other | VA | VA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101274577 (Virginia) | Secondary |
| 207K00000X | Allergy & Immunology | 0101274577 (Virginia) | Primary |
| Entity Name | Richmond Allergy And Asthma Specialists,pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548367733 PECOS PAC ID: 0143307207 Enrollment ID: O20080414000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Philip Breidenbaugh, MD 9920 Independence Park Dr Ste 100, Henrico, VA 23233-1487 Ph: (804) 726-5141 | Marc Philip Breidenbaugh, MD 9920 Independence Park Dr Ste 100, Henrico, VA 23233-1487 Ph: (804) 285-7420 |
Darshana Alle, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 7702 E Parham Rd Ste 301, Henrico, VA 23294 Phone: 804-527-1190 | |
Dr. Amy Louise Parker, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 7702 E Parham Rd Ste 301, Henrico, VA 23294 Phone: 804-527-1190 |