Jacqueline Elaine Brecht, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

238159 Issued in MA

Practice address

40 Crane Ave
East Longmeadow, MA 01028-2335

Phone

(413) 318-4670

Fax

(413) 735-2012

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacqueline Bender Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGHCBD

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

• Meadows Health Center PC

  • Internal Medicine Physician
  • East Longmeadow, MA
  • NPI 1194233064
  NPD
• Radiology & Imaging, Inc.

  • Diagnostic Radiology Physician
  • Springfield, MA
  • NPI 1790731008
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1205889102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CRANE AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282335",
            "telephone_number": "413-318-4670",
            "fax_number": "413-735-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CRANE AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282335",
            "telephone_number": "413-318-4670",
            "fax_number": "413-735-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECHT",
        "first_name": "JACQUELINE",
        "middle_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "238159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5275",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BENDER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Robert Black Jr., ACSM RCEP
• Nathan Blake, PT
• Julia Bonavita
• Laurie Ann Bouzan, P.T.
• Arianne Boyajian, LMT
• Sarah Danielle Bridges, MSW
• Laurie M Brown, DMD, MS
• Danielle Elizabeth Brunelle, MPT, LATC
• Ian Spencer Burgess, PT
• Mary Elizabeth Burke

• Urology Physician in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.