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

Breanna Taina Willeford

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1962965566

Breanna Taina Willeford is a Physical Medicine and Rehabilitation in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Carolina Spine Center PA, a 12-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019

Practice location Address checks out

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone: (704) 376-1605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 2024-02208 (NC)

Record details

NPI number1962965566
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolina Spine Center Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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