Andrew Joseph Breuder, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

9537 Issued in NH

Practice address

718 Smyth Rd
VA Medical Center (11)
Manchester, NH 03104-7004

Phone

(603) 624-4366

Fax

(603) 626-6576

NPI assigned

Feb 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568438281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEWFANE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104844",
            "telephone_number": "603-471-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "address_2": "VA MEDICAL CENTER (11)",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047004",
            "telephone_number": "603-624-4366",
            "fax_number": "603-626-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUDER",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NH",
            "license": "9537",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "OH",
            "license": "35042743",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "MA",
            "license": "45053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Breault, BS
• Shannon Breault, BA
• Brittany Brennan
• Lynn Brennan
• Joanne Bresnahanball, MLADC
• Sarah I Brevick, LMHC, LCPC
• John E Brewer IV
• Isabel Amory Brewster, CNM
• Brian J Mahoney DMD PA
• Daniel Wayne Bricker, SOCIAL WORKER

• Aerospace Medicine Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Aerospace Medicine Physician in New Hampshire

• 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.