Dr. Randall L Breau, M.D.
Dermatology, MOHS-Micrographic Surgery in Little Rock, AR. Individual provider (NPI-1).
Details
- NPI
- 1699804138
- Entity type
- Individual (NPI-1)
- Name
- Dr. Randall L Breau
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2007
- Certification date
- May 6, 2025
- Last updated
- May 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | E1230 | AR | Yes |
| 207N00000X | Dermatology | E1230 | AR | |
| 207NS0135X | Dermatology, Procedural Dermatology | E1230 | AR |
Practice location
9601 Baptist Health Dr Ste 860Little Rock, AR 72205-6375
Phone 501-975-7455 · Fax 501-975-3631
Mailing address
4261 Stockton Drive Suite Ll100North Little Rock, AR 72117
Phone 501-975-7456 · Fax 501-978-1822
Other practice locations
Heber Springs, AR 72543-6305
Phone 501-362-3100 · Fax 501-362-3105
Cabot, AR 72023-7695
Phone 501-941-3101 · Fax 501-941-3015
North Little Rock, AR 72117-2962
Phone 501-791-7546 · Fax 501-753-1992
Searcy, AR 72143-4633
Phone 501-268-1500 · Fax 501-268-1505
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other MOHS-Micrographic Surgery Physician providers in Little Rock, AR
- Scott Michael Dinehart, M.D.NPI 1922065044
- Justin Michael McLawhorn, MDNPI 1316474471
- Michael Frederick Osleber, MDNPI 1003013384
- Joseph Chase Purnell, MDNPI 1629422571
All 5 MOHS-Micrographic Surgery Physician providers in Little Rock · All 15,826 providers in Little Rock
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