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Breanna Bradley Black, PA-C

NPI 1346972502ActiveIndividual· Physician Assistant· Provo, UT

Physician Assistant (PA-C) in Provo, Utah, licensed in UT, with an NPI issued in June 2022. Enrolled in Medicare as practitioner - physician assistant. Collegium Pharmaceutical, Inc. was the largest of 5 companies reporting payments in 2025, $117.12 in all, mostly food and beverage.

Overview

NPI1346972502
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 27, 2022
Last updated in NPPESOct 3, 2023
Certified by providerOct 3, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X13603008-1206UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (UT)

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$117.12 · 6 payments from 5 companies
  • 2024$97.87 · 6 payments from 4 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$117.12 · 6 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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