Individual provider Active NPI

Russell S. Breish, M.D.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1174514574
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD029283E Issued in PA
Practice address
8815 Germantown Ave
5TH Floor
Philadelphia, PA 19118-2722
Phone
(215) 248-8145
Fax
(215) 248-8852
NPI assigned
Nov 3, 2005
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD029283E PA Primary

Addresses

Primary practice location

8815 Germantown Ave
5TH Floor
Philadelphia, PA 19118-2722

Mailing address

8815 Germantown Ave
5TH Floor
Philadelphia, PA 19118-2722
Phone (215) 248-8145

Other practice location 1

8765 Stenton Avenue
Wyndmoor, PA 19038-8317
Phone (215) 836-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050502000165 PA Practitioner - Family PracticePractitioner - Other (Physician) 4183663966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1316 W Ontario St
Temple Faculty Case Management
Philadelphia, PA 19140-5220
Phone (215) 707-1800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc CurrentSince Sep 11, 2023 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Sep 11, 2023 Accepting new patients
Chestnut Hill Clinic Company, LLC Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Jan 1, 2010 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Keystone Hospice CurrentSince Dec 20, 2016 Accepting new patients
Keystone Hospice Family Medicine CurrentSince Dec 20, 2016 Accepting new patients
CHH Community Health Past Accepting new patients

Locations

10 Shurs Ln
Philadelphia, PA 19127
Phone (215) 482-0899

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

8815 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8145

8815 Germantown Ave
Fl 5
Philadelphia, PA 19118
Phone (215) 248-8145

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

8765 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 836-2440

Organizations & group practices 8

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 2

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1174514574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-248-8145",
            "fax_number": "215-248-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-248-8145",
            "fax_number": "215-248-8852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8765 Stenton Avenue",
            "address_purpose": "LOCATION",
            "city": "Wyndmoor",
            "state": "PA",
            "postal_code": "190388317",
            "country_code": "US",
            "telephone_number": "215-836-2440",
            "fax_number": "215-836-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREISH",
        "first_name": "RUSSELL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD029283E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.