DR. CRYSTAL BREIGHNER (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1104268614

DR. CRYSTAL BREIGHNER (M.D.) is a healthcare provider. based in Fort gordon, Georgia. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 61000 (MN). The NPI Number for DR. CRYSTAL BREIGHNER (M.D.) is 1104268614

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRYSTAL BREIGHNER (M.D.)
NPI
1104268614
Phone
(999) 999-9999
Address
300 East Hospital Road
Enumeration Date
25 July 2013
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
93729843315425
Graduation Year
2013 (13 years ago)
PAC ID
6901124098
Group Practice PAC ID
3577452465
Professional Enrollment ID
I20240816002131
Address ID
OH454291221DA3535XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

644 CRITICAL CARE (INTENSIVISTS) in GA

Provider Addresses for DR. CRYSTAL BREIGHNER (M.D.)

  • 300 East Hospital Road

    Fort Gordon, GA 309055650

    Phone: (999) 999-9999

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 300 EAST HOSPITAL ROAD

    FORT GORDON, GA 309055650

    Phone:

    Type: Mailing

  • 33 W RAHN RD

    DAYTON, OH 454292219

    Phone: (937) 433-8990

    Fax: (937) 433-8691

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240816002131ICritical Care (Intensivists)OHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577452465View full group profile
NameSpecialtyState
-OH
Critical Care (Intensivists), Internal MedicineOH
Nurse PractitionerOH
-TN
Physician AssistantOH
Critical Care (Intensivists)OH
Critical Care (Intensivists)MI
Internal MedicineOH
Internal MedicineOH
Internal MedicineNJ

Reviews

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Frequently asked questions

What federal number belongs to DR. CRYSTAL BREIGHNER (M.D.)?
The federal identifier for DR. CRYSTAL BREIGHNER (M.D.) is NPI 1104268614.
Is DR. CRYSTAL BREIGHNER (M.D.)'s NPI currently valid?
The extract we use shows DR. CRYSTAL BREIGHNER (M.D.) as active.
What kind of provider is DR. CRYSTAL BREIGHNER (M.D.)?
The page reflects Critical Care Medicine (Internal Medicine) Physician for DR. CRYSTAL BREIGHNER (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. CRYSTAL BREIGHNER (M.D.)'s primary listing?
We display Fort Gordon, Georgia because that is what the record indicates for DR. CRYSTAL BREIGHNER (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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