Gedeon Brezil, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

219236 Issued in MA

Practice address

94 S Main St
Middleboro, MA 02346-2123

Phone

(508) 947-6100

NPI assigned

Sep 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Wellness Pathway Counseling Services, LLC

  • Mental Health Counselor
  • Mansfield, MA
  • NPI 1396471942
  Medicare reassignment NPD Authorized official
• Northeast Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481
  Medicare reassignment NPD

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1306395405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SYCAMORE DR",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461497",
            "telephone_number": "508-496-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 S MAIN ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462123",
            "telephone_number": "508-947-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZIL",
        "first_name": "GEDEON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred M Bongiorno, DMD
• Kellieanne T Boutilier, RN
• Meghan A Brant
• Jill Marie Brazao, M.A., LMHC
• Melissa Bresnahan, APRN
• Lia M Brossi
• Brown Vision Care, Inc
• Casey Lynn Brown
• Sara Lynn Buckner, REGISTERED
• Nicole Bulger

• Clinical Social Worker in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.

Verify at the official NPI Registry.