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Active NPI 1043039720 Individual Practitioner Female Practitioner

Mackenzie Breazeale

Physician Assistant • Birmingham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mackenzie Breazeale is a certified Physician Assistant practicing in Birmingham, AL. With approximately 2 years of clinical experience since completing medical education in 2024, Mackenzie Breazeale delivers high-quality medical care to the local community at 800 LAKESHORE DR.

Mackenzie Breazeale is affiliated with University Of Utah Adult Services and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

800 Lakeshore Dr

Birmingham, AL 352290001

Telephone 2057262011
Associated Practice Facility / Clinic
🏢 Samford University Facility NPI 1588716021

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Birmingham, AL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -5.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
370 Specialists

Practicing in Birmingham, AL (1153 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breazeale (2 Years) 2 Yrs
Birmingham Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

University Of Utah Adult Services

1950 Circle Of Hope Dr, Salt Lake City, UT 841125500

Phone: 8015812121

University Of Utah Adult Services

50 N Medical Dr, Salt Lake City, UT 841320001

Phone: 8015812121

University Of Utah Adult Services

50 N Medical Dr, Salt Lake City, UT 841320100

Phone: 8012132995

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Christopher Evans

Student in an Organized Health Care Education/Training Program

NPI 1003252495
Anna Towner , PA

Physician Assistant

NPI 1013725886

Physician Assistant

Demetrius Garner

Student in an Organized Health Care Education/Training Program

NPI 1033554647
Megan Walters

Student in an Organized Health Care Education/Training Program

NPI 1063858504
Benny Gilliard

Specialist/Technologist - Athletic Trainer

NPI 1083138200
Robert Thomas

Student in an Organized Health Care Education/Training Program

NPI 1093669673

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2024

Registered at 800 LAKESHORE DR, BIRMINGHAM, AL 352290001 (Tel: 2057262011)

📍
Updated Business Mailing Address October 09, 2024

Registered at 800 LAKESHORE DR, BIRMINGHAM, AL 352290001

👤
Provider Name / Credentials Updated October 09, 2024

Recorded as MACKENZIE BREAZEALE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 09, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043039720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2024
Last Update: December 10, 2025
Sole Proprietor: No

Mailing Address

800 Lakeshore Dr

Birmingham, AL 352290001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.