Individual provider Active NPI

David Breyer, LLP

  • Psychologist
  • Saginaw, MI
National Provider Identifier
1750826814
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301006470 Issued in MI
Practice address
4855 Berl Dr
Saginaw, MI 48604-2832
Phone
(989) 737-8442
Fax
(888) 859-9518
NPI assigned
Dec 28, 2016
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301006470 MI Primary

Addresses

Primary practice location

4855 Berl Dr
Saginaw, MI 48604-2832

Mailing address

4475 Raven LN
Apt. 2
Bay City, MI 48706-2552
Phone (989) 737-8442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301006470MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1750826814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 RAVEN LN",
            "address_2": "APT. 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062552",
            "telephone_number": "989-737-8442",
            "fax_number": "888-859-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 BERL DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042832",
            "telephone_number": "989-737-8442",
            "fax_number": "888-859-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREYER",
        "first_name": "DAVID",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.