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

Jamielou Custodio Breckenridge, MD

Individual provider Surgery Physician · NPI 1679010896

Jamielou Custodio Breckenridge, MD is a General Surgery in Fort Belvoir, Virginia. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2017, 9 years ago. Practices with Valley Physician Enterprise Inc, a 190-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
VA
In the registry since
2017
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

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone: (571) 231-3224
Show map & directions

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

Additional practice locations (3)

  • 500 Sentara Cir Ste 202, Williamsburg, VA 23188-5727 — (757) 984-9850
  • 1840 Amherst St, Winchester, VA 22601-2808 — (540) 536-8000
  • 190 Campus Blvd Ste 310, Winchester, VA 22601-2872 — (540) 536-0130

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101276676 (VA)

Record details

NPI number1679010896
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2017
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2017 (9 years in practice)
Group practice Valley Physician Enterprise Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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