Individual provider Active NPI

Joan C Breen, MD

  • Neurology Physician
  • Bradford, MA
National Provider Identifier
1104816156
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
75974 Issued in MA
Practice address
145 Ward Hill Ave
Whittier Rehabilitation Hospital
Bradford, MA 01835-6928
Phone
(978) 372-8000
Fax
(978) 374-4423
NPI assigned
Oct 21, 2005
Last updated
Mar 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 9011NH NH
Neurology Physician 2084N0400X 75974 MA Primary

Addresses

Primary practice location

145 Ward Hill Ave
Whittier Rehabilitation Hospital
Bradford, MA 01835-6928

Mailing address

25 Railroad SQ
Suite 503
Haverhill, MA 01832-5721
Phone (978) 556-5907

Other identifiers 2

IdentifierTypeStateIssuer
0101696OtherNH0101696YONH01
30006121MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000038 MA Practitioner - NeurologyPractitioner - Physical Medicine and Rehabilitation 2163323205 Practice locations: Bradford, MA

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Physical Medicine and Rehabilitation
Education
Geisel School of Medicine at Dartmouth, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Ward Hill Ave
Bradford, MA 01835-6928
Phone (978) 372-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75974MAMDNeurology Physician
9011NHNHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joan C Breen MD PLLC Neurology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1104816156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RAILROAD SQ",
            "address_2": "SUITE 503",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018325721",
            "telephone_number": "978-556-5907",
            "fax_number": "978-521-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WARD HILL AVE",
            "address_2": "WHITTIER REHABILITATION HOSPITAL",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018356928",
            "telephone_number": "978-372-8000",
            "fax_number": "978-374-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "JOAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "9011NH",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "75974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0101696YONH01",
            "identifier": "0101696",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30006121",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, MA

Sources for this page

Verify at the official NPI Registry.