Breeches Buoy Addiction Medicine Services
NPI 1962097626 · Addiction Medicine (Internal Medicine) Physician · Lumberton, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Breeches Buoy Addiction Medicine Services is a Addiction Medicine (Internal Medicine) Physician organization in Lumberton, NC (NPI 1962097626).
Provider details
- NPI number
- 1962097626
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marla Hardenbergh, Owner(208) 578-6110
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Frequently asked questions
- What is Breeches Buoy Addiction Medicine Services's NPI number?
- Breeches Buoy Addiction Medicine Services's National Provider Identifier (NPI) is 1962097626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breeches Buoy Addiction Medicine Services?
- Breeches Buoy Addiction Medicine Services is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Breeches Buoy Addiction Medicine Services located?
- Breeches Buoy Addiction Medicine Services's practice location on file with NPPES is 300 W 27th St, Lumberton, NC 28358-3075.
- What is Breeches Buoy Addiction Medicine Services's phone number?
- The practice phone number listed in the NPPES registry for Breeches Buoy Addiction Medicine Services is (910) 536-1689.
- Does Breeches Buoy Addiction Medicine Services accept Medicare?
- Breeches Buoy Addiction Medicine Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Breeches Buoy Addiction Medicine Services?
- The authorized official listed on Breeches Buoy Addiction Medicine Services's NPPES record is Marla Hardenbergh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breeches Buoy Addiction Medicine Services's NPI active?
- Yes — Breeches Buoy Addiction Medicine Services's NPI (1962097626) is active in the NPPES registry as of the last update on 2024-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.