Individual provider Active NPI

Fred Barreau, D.C.

  • Chiropractor
  • Somerville, MA
National Provider Identifier
1326172610
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1697 Issued in MA
Practice address
240-A Elm Street
Suite 27
Somerville, MA 02144-2935
Phone
(617) 628-2827
Fax
(617) 628-2815
NPI assigned
Mar 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1697 MA Primary

Addresses

Primary practice location

240-A Elm Street
Suite 27
Somerville, MA 02144-2935

Mailing address

240-A Elm Street
Suite 27
Somerville, MA 02144-2935
Phone (617) 628-2827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1697MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326172610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240-A ELM STREET",
            "address_2": "SUITE 27",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442935",
            "telephone_number": "617-628-2827",
            "fax_number": "617-628-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240-A ELM STREET",
            "address_2": "SUITE 27",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442935",
            "telephone_number": "617-628-2827",
            "fax_number": "617-628-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARREAU",
        "first_name": "FRED",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.