NPIMap

Organization Active NPI

David H. Breen MD PLLC

  • Pediatrics Physician
  • Dansville, NY
National Provider Identifier
1093994832
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
122238 Issued in NY
Legal business name
DAVID H. BREEN MD PLLC
Practice address
36 Elizabeth St
Dansville, NY 14437-1632
Phone
(585) 243-4000
Fax
(585) 243-4002
NPI assigned
Oct 29, 2007
Last updated
Mar 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David H. BreenNPI 1285662361
Title
M.D.
Phone
(585) 243-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 122238 NY
Pediatrics Physician 208000000X 122238 NY Primary

Addresses

Primary practice location

36 Elizabeth St
Dansville, NY 14437-1632

Mailing address

3889 North Road
Geneseo, NY 14454-9745
Phone (585) 243-4000

Other identifiers 1

IdentifierTypeStateIssuer
00892439MedicaidNY

National Provider Directory

National Provider Directory

Locations

36 Elizabeth St
Dansville, NY 14437
Phone (585) 243-4000

3889 North Rd
Geneseo, NY 14454
Phone (585) 243-4000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1093994832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3889 NORTH ROAD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549745",
            "telephone_number": "585-243-4000",
            "fax_number": "585-243-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ELIZABETH ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144371632",
            "telephone_number": "585-243-4000",
            "fax_number": "585-243-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. BREEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "585-243-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "122238",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "122238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00892439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.