IndividualActive
Breanna Koetter, MD
NPI 1013597236 · Diagnostic Radiology Physician · Charleston, SC
Provider details
- NPI number
- 1013597236
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MMD88280MD (SC)
Mailing address
498 Albemarle Rd Unit 103
Charleston, SC 29407-7570
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.