Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brent Clayton Breedlove, PA-C

Individual provider Physician Assistant · NPI 1417525304

Brent Clayton Breedlove, PA-C is a Physician Assistant in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2021, 5 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-9733
Phone: (336) 716-6674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1510 Nc Highway 68 N, Oak Ridge, NC 27310-9733 — (336) 644-0111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11324 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 001011324 (NC)

Record details

NPI number1417525304
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 16, 2021
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Winston Salem