Individual ProviderHans Josef BreitbachNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310-0001(910) 907-6900(910) 907-8922PECOS EnrollmentBased on the most recent information from CMS, provider Hans Josef Breitbach does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1588401392Provider TypeIndividualFull NameBreitbach, Hans JosefCredentialFNPGenderMaleSole ProprietorNoEnumeration Date7/9/2024Last Updated3/27/2025Contact InformationPractice LocationPractice Address2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310-0001Phone(910) 907-6900Fax(910) 907-6069Mailing LocationMailing Address2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310-0001Phone(910) 907-8922Fax(910) 907-6069Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5020559North CarolinaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN61587364WashingtonCode163WE0003XDescriptionRegistered NurseNursing Service ProvidersLicense122373Iowa