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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457155830

Derek Owen Breiner, MD is a Student in an Organized Health Care Education/Training Program in Charleston, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-4172
Fax: (304) 388-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1457155830
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

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