Robert J Breiman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00402644 Issued in NY

Practice address

209 W State St
Ithaca, NY 14850-5429

Phone

(607) 277-4341

Fax

(607) 216-0902

NPI assigned

Oct 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: robert.breiman.1@18477.direct.athenahealth.com

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831285725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505429",
            "telephone_number": "607-277-4341",
            "fax_number": "607-216-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505429",
            "telephone_number": "607-277-4341",
            "fax_number": "607-216-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIMAN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "00402644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00402644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Braun, LPN
• Jessica Evelyn Brauzer
• Deborah A Bray, LCSW-R
• Peter R. Breggin, MD
• Mandi Jean Breigle, ATC
• Peter T Brennan, MD
• Melissa Bresenhan, CRNP
• Charlene Brew
• Christine Noelle Brewer
• Donna Jo Brigham, FNP

• Family Medicine Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.