Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanna Aubrey Roach

Individual provider Family Nurse Practitioner · NPI 1932050143

Breanna Aubrey Roach is a Nurse Practitioner in Columbia, Maryland. Qualified in 2025, 1 year ago. Practices with Centennial Medical Group, PA, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2026
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Practice location Address checks out

6250 Old Dobbin Ln
Columbia, MD 21045-5816
Phone: (410) 730-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R263677 (MD)

Record details

NPI number1932050143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Centennial Medical Group, Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Columbia