Organization Active NPI

Breiter Tech Corp

  • Gastroenterology Physician
  • Glastonbury, CT
National Provider Identifier
1720396567
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
021746 Issued in CT
Legal business name
BREITER TECH CORP
Practice address
2842 Main St
Ste 309
Glastonbury, CT 06033-1077
Phone
(860) 502-4587
NPI assigned
Sep 14, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Jeffrey Breiter
Title
Ceo
Phone
(860) 502-4587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 021746 CT Primary

Addresses

Primary practice location

2842 Main St
Ste 309
Glastonbury, CT 06033-1077

Mailing address

2842 Main St
Ste 309
Glastonbury, CT 06033-1077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1720396567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 MAIN ST",
            "address_2": "STE 309",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 MAIN ST",
            "address_2": "STE 309",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331077",
            "telephone_number": "860-502-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREITER TECH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "BREITER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-502-4587"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "021746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.