NPI

Glenn Scott Breitzig

NPI 1154305837

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
D.C., FNP-C
Type
Individual
Enumeration date
2005-12-06
Last updated
2026-06-05

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Specialties

Licenses

License FL
CH0008078
License MO
2019008101

Location

Practice location
3401 Berrywood Dr
City
Columbia MO
Postal code
65201-8372
Phone
(573) 777-8330

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Columbia, MO. 7,005 records in the public file.

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