Breast Treatment Associates, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MC1480 Issued in AR

Legal business name

BREAST TREATMENT ASSOCIATES, P.A.

Practice address

1792 E Joyce Blvd Ste 1
Fayetteville, AR 72703-5255

Phone

(479) 582-1000

Fax

(479) 582-5724

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn I Roberts

Title

Practice Manager

Phone

(479) 582-1000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1750577821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035255",
            "telephone_number": "479-582-1000",
            "fax_number": "479-582-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035255",
            "telephone_number": "479-582-1000",
            "fax_number": "479-582-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST TREATMENT ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "479-582-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "MC1480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124294002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Ryan Braziel, ATC
• Spencer Brazil
• Eric R Bready, MD
• Anna Stilinovic Breard, PA-C
• Brandon Breard, DDS
• Jennifer Breathitt, APRN
• Raymond Curtis Bredfeldt, MD
• Heidi Richter Brekelbaum, LAC
• Christi Brennan, OTR
• Scott Brenner, DO

• Specialist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.