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

Mrs. Breanna Tetreault, DO

Individual provider Family Medicine Physician · NPI 1164085536

Mrs. Breanna Tetreault, DO is a Family Practice in Berkeley, California. Qualified in 2019, 7 years ago. Practices with John Muir Physician Network, a 486-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3100 San Pablo Ave Ste 310
Berkeley, CA 94702-2498
Phone: (510) 985-5000
Fax: (510) 985-5002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-5781 — (707) 583-8800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A20241 (CA)

Record details

NPI number1164085536
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2019
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice John Muir Physician Network — 486 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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