DR. THOMAS JAMES BREIDENSTEIN (NPI# 1760559181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760559181 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JAMES BREIDENSTEIN |
| Credential | D.O. |
| Practice Address |
108 E Green Meadows Rd Suite 8 Columbia MO 65203-3633 |
| Practice Telephone | 5738755900 |
| Practice Fax Number | 5734496032 |
| Mailing Telephone | 5738755900 |
| Mailing Fax Number | 5734496032 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
R7369 | MO | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R7369 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | UNITED BEHAVIORAL HEALTH | 1518514 | 01 |
| MO | HEALTHLINK | 171478 | 01 |
| MO | 241822618 | 05 | |
| MO | ANTHEM BLUE CROSS | 7552 | 01 |
| Street Address |
108 E GREEN MEADOWS RD SUITE 8 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376964957 | Innovative Healthcare of Mid Missouri Inc. | Home Health | 108 E Green Meadows Rd, Ste 8, Columbia, MO 65203-3633 | 2013-12-26 |
| 1164647830 | M. Catherine Easterday | Psychologist | 108 E Green Meadows Rd, Suite 5, Columbia, MO 65203-3633 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962819326 | Oluwole Popoola | Psychiatry & Neurology | One Hospital Dr, Columbia, MO 65212 | 2014-07-17 |
| 1922203223 | Joseph David Markowitz | Psychiatry & Neurology | 3555 Harden Street Ext Ste 141, Columbia, SC 29203 | 2007-06-18 |
| 1275643538 | Diana L. Thorne | Psychiatry & Neurology | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235203308 | David Edward Sternberg | Psychiatry & Neurology | 527 Sw Market St, Lees Summit, MO 64063-3918 | 2006-11-20 |
| 1689661829 | Subbu Joseph Sarma | Psychiatry & Neurology | 4025 Ne Lakewood Way Ste 210, Lees Summit, MO 64064-2059 | 2005-10-03 |
| 1982928065 | Jack L. Croughan Inc | Psychiatry & Neurology | 1034 S Brentwood Blvd, Suite 970, Saint Louis, MO 63117-1223 | 2010-03-18 |
| 1104873116 | Ashok R Mallya | Psychiatry & Neurology | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2006-05-27 |
| 1588659288 | David Lee Ohlms | Psychiatry & Neurology | 12166 Old Big Bend Rd, Suite 100, Kirkwood, MO 63122-6844 | 2005-09-19 |
Please comment or provide details below to improve the information on DR. THOMAS JAMES BREIDENSTEIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.