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

Mackenzie Breazeale

Individual provider Physician Assistant · NPI 1043039720

Mackenzie Breazeale is a Physician Assistant in Birmingham, Alabama. Qualified in 2024, 2 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

800 Lakeshore Dr
Birmingham, AL 35229-0001
Phone: (205) 726-2011
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043039720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address800 Lakeshore Dr, Birmingham, AL 35229-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Birmingham