Rebecca G Breslow, M.D.

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

042.0015071 Issued in VT

Practice address

90 Bryant Rd
Manchester Center, VT 05255-8001

Phone

(617) 308-9153

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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 VT

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

Sports Medicine

Education

Harvard Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taconic Orthopaedics PCGroup PAC ID 3870555238, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012
• Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005
• Grace Cottage Hospital Hospital, Townshend, VT, CCN 471300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbreslow@taconicortho.mdlogic.direct-ci.com

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

• Taconic Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Manchester Center, VT
  • NPI 1114092327
  Medicare reassignment Care Compare group NPD
• Southwestern Vermont Medical Center, Inc

  • Orthopaedic Surgery Physician
  • Bennington, VT
  • NPI 1487930632
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carlos G. Otis Health Care Center Inc.

  • Critical Access Hospital
  • Townshend, VT
  • NPI 1255337473
  Care Compare affiliation
• Rutland Hospital, Inc.

  • General Acute Care Hospital
  • Rutland, VT
  • NPI 1720042203
  Care Compare affiliation
• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  Care Compare affiliation

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1881767036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BRYANT RD",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052558001",
            "telephone_number": "617-308-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BRYANT RD",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052558001",
            "telephone_number": "617-308-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLOW",
        "first_name": "REBECCA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "VT",
            "license": "042.0015071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurae Begley Baker, PH.D., LCMHC
• Morgan Ray Bazyk
• Austen Bingham, LPC
• Lia B Braico, FNP-BC
• Jennifer Labelle Breen, MS/CCC-SLP
• Lesley Thompson Brodie, M.D.
• Bromley Brook School
• Geoffry Lee Campe, D.D.S.
• Kristina Marie Cerza, PHARM. D.
• Chiropractic Care Center Inc

• Sports Medicine (Internal Medicine) Physician in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Sports Medicine (Internal Medicine) Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.