Individual provider · Type 1 NPI

Breanna Marie Koetter, MD

Diagnostic Radiology Physician · Charleston, SC

NPI number 1013597236 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-0100

Mailing address

498 Albemarle Rd Unit 103
Charleston, SC 29407-7570

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMMD88280MD (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1013597236

Breanna Marie Koetter, MD's National Provider Identifier is 1013597236, issued on Apr 12, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charleston, SC. The record was last updated on Apr 1, 2026.