Stephen D. Breda MD Facs PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

029401 Issued in CT

Legal business name

STEPHEN D. BREDA MD FACS PC

Practice address

4695 Main St 1
Suite 1
Bridgeport, CT 06606-1331

Phone

(203) 371-5166

Fax

(203) 374-7123

NPI assigned

Sep 7, 2007

Last updated

Jul 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen D Breda, MD, FACS, PCNPI 1295771848

Title

President

Phone

(203) 371-5166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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.

• Stephen Dean Breda, M.D.

  • Otolaryngology Physician
  • Bridgeport, CT
  • NPI 1295771848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1306031828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MAIN ST 1",
            "address_2": "SUITE 1",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061331",
            "telephone_number": "203-371-5166",
            "fax_number": "203-374-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MAIN ST 1",
            "address_2": "SUITE 1",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061331",
            "telephone_number": "203-371-5166",
            "fax_number": "203-374-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. BREDA MD FACS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "BREDA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-371-5166",
        "authorized_official_credential": "MD, FACS, PC"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "029401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey C. Stay, MS, ATC, CSCS
• Lisa M Stefanko, LCSW
• Allison Emma Steigleder
• Nicole Steiner
• Sherry Lynne Stemper, ND
• Alyssa Stephens, LCSW
• Romalin Stephens, LPN
• Natalie Nicole Stepniak, PA-C
• Thamara Sterling, APRN
• Logan Stern, APRN

• Otolaryngology Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.