Active NPI
Igal Breitman, MD
- Surgery Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 464
- Practice address
- 2300 N Rockton Ave
Rockford, IL 61103-3619 - Phone
- (815) 971-2000
- NPI assigned
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35-121676 | OH | |
| Surgery Physician | 208600000X | 64663 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 662 | TN | |
| Surgery Physician | 208600000X | 464 | WI | Primary |
Addresses
Primary practice location
2300 N Rockton Ave
Rockford, IL 61103-3619
Mailing address
122 E College Ave
Appleton, WI 54911-5741
Phone (920) 996-3264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 662 | Other | TN | TENNESSEE MEDICAL BOARD |
Other names 1
- Dr. Igal Brightman
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ibreitman57457@direct.crmcwy.org | Direct | Cheyenne Regional Physicians Group, LLC |
| Direct Messaging Address | ibreitman57457@direct.crmcwy.org | Health Information Exchange (HIE) | Cheyenne Regional Physicians Group, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY, MI, MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151217002288 | IL | Practitioner - General Surgery | 7719121847 | Reassigns benefits to 1 organization |
| I20200520002559 | NY | Practitioner - General Surgery | 7719121847 | Reassigns benefits to 13 organizations |
| I20221109002801 | MI | Practitioner - General Surgery | 7719121847 | Reassigns benefits to 1 organization |
| I20250919003202 | MN | Practitioner - General Surgery | 7719121847 | Reassigns benefits to 2 organizations |
| I20260422001213 | ND | Practitioner - General Surgery | 7719121847 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Francis Medical Center
Practice addresses (Care Compare)
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000
401 Main St
Milnor, ND 58060-4001
Phone (701) 427-5300
Hospital & facility affiliations
- St Francis Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-121676 | OH | MD | Surgery Physician |
| 464 | WI | MD | Physical Therapy Assistant |
| 662 | TN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
Locations (25 of 33)
3293 Solutions Ctr
Chicago, IL 60677
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226
15 Park Ave
Bay Shore, NY 11706
Phone (631) 581-4400
2157 White Plains Rd
Ste B
Bronx, NY 10462
384 E 149th St
Ste 201C
Bronx, NY 10455
384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240
384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441
947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855
5199 Broadway
Ste B
Bronx, NY 10463
Phone (929) 297-0692
5199 Broadway
Ste C
Bronx, NY 10463
Phone (718) 732-1071
5199 Broadway
Ste A
Bronx, NY 10463
Phone (347) 812-0779
2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845
11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009
1949 Westchester Ave
Ste A
Bronx, NY 10462
Phone (929) 254-3405
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600
16203 Jamaica Ave
Ste 200C
Jamaica, NY 11432
122 Fulton St
Fl 5
New York, NY 10038
Phone (212) 766-5000
4159 Broadway
Ste C
New York, NY 10033
Phone (718) 879-8938
1264 Saint Nicholas Ave
Ste C
New York, NY 10033
Phone (718) 732-1071
Interoperability endpoints
- ibreitman57457@direct.crmcwy.org
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
- igalbreitman@normd.allscriptsdirect.net
Organizations & group practices 29
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.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
MI, Surgery
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1922525781
NY
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1063926962
NY
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1881973014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E COLLEGE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115741",
"telephone_number": "920-996-3264",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033619",
"telephone_number": "815-971-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITMAN",
"first_name": "IGAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35-121676",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "64663",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": "662",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE MEDICAL BOARD",
"identifier": "662",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ibreitman57457@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Cheyenne Regional Physicians Group, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ibreitman57457@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Cheyenne Regional Physicians Group, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "IGAL",
"last_name": "BRIGHTMAN",
"prefix": "DR.",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.