Active NPI
Breton Roussel, M.D.
- Gastroenterology Physician
- East Providence, RI
National Provider Identifier
1215385661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD16607
- Practice address
- 950 Warren Ave Ste 302
East Providence, RI 02914-1432 - Phone
- (401) 606-4230
- Fax
- (401) 606-4261
- NPI assigned
- May 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD16607 | RI | Primary |
| Internal Medicine Physician | 207R00000X | MD16607 | RI |
Addresses
Primary practice location
950 Warren Ave Ste 302
East Providence, RI 02914-1432
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
245 Chapman St Ste 300
Providence, RI 02905-4539
Phone (401) 444-5280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lifespan Physician Group Inc
Practice addresses (Care Compare)
33 Staniford St
Providence, RI 02905-3105
Phone (401) 421-8800
950 Warren Ave
Suite 302
East Providence, RI 02914-1432
Phone (401) 444-6551
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 71 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Gastroenterology, LLC | Gastroenterology | Current | Accepting new patients |
Locations
33 Staniford St
#2
Providence, RI 02905
148 W River St
Ste 3
Providence, RI 02904
Phone (401) 274-1260
33 Staniford St
Providence, RI 02905
Phone (401) 274-1810
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Providence, RI
- NPI 1386952612
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1215385661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WARREN AVE STE 302",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141432",
"telephone_number": "401-606-4230",
"fax_number": "401-606-4261"
}
],
"practiceLocations": [
{
"address_1": "245 Chapman St Ste 300",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029054539",
"country_code": "US",
"telephone_number": "401-444-5280",
"fax_number": "401-444-4480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUSSEL",
"first_name": "BRETON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-26",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "RI",
"license": "MD16607",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16607",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.