Breiter Tech Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12353 Issued in RI

Legal business name

BREITER TECH CORP

Practice address

640 George Washington Hwy
Lincoln, RI 02865-4332

Phone

(216) 386-3815

NPI assigned

Aug 3, 2012

Last updated

Aug 3, 2012By 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

Stefan Gravenstein

Title

Ceo

Phone

(216) 386-3815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1336496777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HWY",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654332",
            "telephone_number": "216-386-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HWY",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654332",
            "telephone_number": "216-386-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREITER TECH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "GRAVENSTEIN",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-386-3815"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "12353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Braddock
• Kristina Bradley
• Caitlyn Ann Braga, FNP-C
• Melissa Brandt, PHARM.D.
• Andrew Spencer Brawner
• Naisha Bretous
• Garlan Brosnahan
• Nicholas Paul Bruno, MD
• James David Burrill, MD
• Chante Butler

• Internal Medicine Physician in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.