Michael L Brechon

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

19016241 Issued in IL

Legal business name

MICHAEL L BRECHON

Practice address

115 W Lincoln Ave
Suite1
Belvidere, IL 61008-3231

Phone

(815) 544-2721

Fax

(815) 544-3937

NPI assigned

Nov 10, 2014

Last updated

Nov 10, 2014By 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

Dr. Michael Brechon, DDS

Title

Owner

Phone

(815) 544-2721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1467858050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W LINCOLN AVE",
            "address_2": "SUITE1",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083231",
            "telephone_number": "815-544-2721",
            "fax_number": "815-544-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W LINCOLN AVE",
            "address_2": "SUITE1",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083231",
            "telephone_number": "815-544-2721",
            "fax_number": "815-544-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L BRECHON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "BRECHON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-544-2721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "19016241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.