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NPI 1295737583 · live from the CMS NPI Registry

Reid Breckwoldt

Radiology, Diagnostic Radiology in Huntersville, NC. National Provider Identifier 1295737583, active.

NPI record

NPI1295737583 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location9533 Devonshire Dr, Huntersville, NC 28078
Practice phone303-933-8270
Mailing address13737 Noel Rd, Ste 1600, Dallas, TX 75240
EnumeratedJune 1, 2005
Last updatedJune 20, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202XMD210002939 (DC)
Radiology, Diagnostic Radiology2085R0202X282090 (NY)
Radiology, Diagnostic Radiology primary2085R0202X9800790 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.