EXCLUDEDPROVIDER
Individual Revocation

Timothy Shaun Breedlove

Springfield, MO 65803

Public HHS-OIG LEIE exclusion record

Timothy Shaun Breedlove of Springfield, MO is listed under National Provider Identifier (NPI) 1104809706. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Timothy Shaun Breedlove is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of October 20, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Springfield, MO 65803
Exclusion date
October 20, 2016
Exclusion type
Revocation (1128b4)
NPI
1104809706

Record summary

Timothy Shaun Breedlove appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Springfield, Missouri. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is October 20, 2016, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateOctober 20, 2016
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1104809706
UPINH45967
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Springfield, MO 65803. The listed provider category is Physician (MD, DO). The listed specialty is Family Practice.

Other excluded providers in Springfield, MO

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Springfield, MO address.

Kevin G Coble Individual Program Crime
Springfield, MO · Conviction of program-related crimes · Excluded May 2026
Angela Bushey Individual Program Crime
Springfield, MO · Conviction of program-related crimes · Excluded Jan 2026
Earl B III Maes Individual Program Crime
Springfield, MO · Conviction of program-related crimes · Excluded Dec 2025
Jennifer Dawn Malone Individual Revocation
Springfield, MO · License revocation, suspension, or surrender · Excluded Nov 2025
Lawrence Mark Sherman Individual Drug Felony
Springfield, MO · Felony conviction relating to controlled substance · Excluded Jan 2025
Tyler Crum Individual Program Crime
Springfield, MO · Conviction of program-related crimes · Excluded Aug 2024
John Henry III Rankin Individual Drug Felony
Springfield, MO · Felony conviction relating to controlled substance · Excluded May 2024
Susan Gail Morris Individual Drug Felony
Springfield, MO · Felony conviction relating to controlled substance · Excluded May 2024

See all 64 excluded providers in Springfield →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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