Breast Care Specialists PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BREAST CARE SPECIALISTS PC

Practice address

5900 Lake Wright Dr
Suite 201
Norfolk, VA 23502-1871

Phone

(757) 622-8032

Fax

(757) 625-7016

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Desiree Marie Squires

Title

Office Manager

Phone

(757) 622-8032

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Ann Palley, NP-C

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1598039349
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1649499427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-622-8032",
            "fax_number": "757-625-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-622-8032",
            "fax_number": "757-625-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-622-8032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "250256",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS OF NC",
            "identifier": "0695A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "RR020018463",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Creech Braun, M.S.ED., CCC-SLP
• Lisa A Braun, ARNP, JD
• Rebecca Lynn Braun
• Tanya Cherryy Bray, LPC
• Breakthrough Supportive Services LLC
• Steven Robert Breault, M.D.
• Nicole Brecher, CRNA
• Elma Brein, CRNA
• James Joseph Brennan, MD
• Nicole Brennan, MSOT R/L

• Surgery Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.