JENNIFER HONEYCUTT BREAZEALE, MD — NPI 1104851047 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in THE WOODLANDS, TX)

CMS-1500 Box 24J / 33a • NPI

1104851047

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

17198 ST LUKES WAY, SUITE 540, THE WOODLANDS, TX, 77384-8011

✓ 9-Digit EDI 837 ZIP+4 (77384-8011)

Practice Phone & Referral Fax

(713) 442-1900

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104851047 (JENNIFER HONEYCUTT BREAZEALE, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104851047` (NPI-1 Individual Practitioner)
Provider / Legal Name	JENNIFER HONEYCUTT BREAZEALE, MD
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	17198 ST LUKES WAY, SUITE 540, THE WOODLANDS, TX, 77384-8011
Practice Telephone / Fax	Tel: (713) 442-1900
Administrative Mailing Address	11511 SHADOW CREEK PKWY, PEARLAND, TX, 77584-7298
Enumeration & Last Sync	Enumerated: 2006-07-11 \| CMS Record Updated: 2021-06-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

17198 ST LUKES WAY, SUITE 540, THE WOODLANDS, TX, 77384-8011

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Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JENNIFER HONEYCUTT BREAZEALE, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: TX \| License: `L5997` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JENNIFER HONEYCUTT BREAZEALE, MD (NPI #1104851047)