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

Breanna Barbeau, PA

Individual provider Physician Assistant · NPI 1639735996

Breanna Barbeau, PA is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2019, 7 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
7
Licensed in
NC, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2088 S Independence Blvd Ste 103
Virginia Beach, VA 23453-4790
Phone: (757) 275-9331
Fax: (757) 416-7656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 445 S Kings Dr, Charlotte, NC 28204-3041 — (980) 308-0141
  • 725 Volvo Pkwy, Chesapeake, VA 23320-1621 — (757) 842-4100
  • 3060 Godwin Blvd, Suffolk, VA 23434-8274 — (757) 935-5310
  • 1168 First Colonial Rd, Virginia Beach, VA 23454-2444 — (757) 352-2020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12396 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0110007020 (VA)

Record details

NPI number1639735996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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