Michael Frank Breslow, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

15221 Issued in AZ

Practice address

320 E 2ND St
Libby, MT 59923-2010

Phone

(406) 293-6900

NPI assigned

Sep 29, 2006

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Psychiatry

Education

Jefferson Medical College of Thomas Jefferson University, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln County Community Health Center IncGroup PAC ID 6507778537, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincoln County Community Health Center, Inc.

  dba Northwest Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Libby, MT
  • NPI 1477574713
  Medicare reassignment Care Compare group NPD
• Lincoln County Community Health Center Inc

  dba Northwest Community Health Center Pharmacy - Hwy 2

  • Community/Retail Pharmacy
  • Libby, MT
  • NPI 1417707837
  NPD
• Lincoln County Community Health Center, Inc

  dba Northwest Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Troy, MT
  • NPI 1417243213
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1841382207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-293-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-293-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLOW",
        "first_name": "MICHAEL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "15221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Bland
• Michelle Lynn Boltz, FNP
• Jane Pauline Borish, MD
• Nicole Marie Bothman
• Jenna Bradford, PT, DPT
• David Allen Bristol, R.PH.
• Jeffrey William Brown, PHD
• Jesse Thomas Brown, PA-C
• Ann Brownback, LCSW
• Brandon James Burke, D.D.S.

• Psychiatry Physician in Libby, MT
• Providers in Libby, MT by specialty
• Psychiatry Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.