Individual provider Active NPI

Igal Breitman, MD

  • Surgery Physician
  • Rockford, IL
National Provider Identifier
1881973014
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
464 Issued in WI
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

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
662OtherTNTENNESSEE MEDICAL BOARD

Other names 1

  • Dr. Igal Brightman Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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, ND5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
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 CenterGroup PAC ID 8123937992, shared by 4 NPIs, 16 clinicians

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 Hospital, Breckenridge, MN, CCN 241377

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-121676OHMDSurgery Physician
464WIMDPhysical Therapy Assistant
662TNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
St. Nicholas Professional Medical Services of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jan 1, 2023 Accepting new patients
St. Francis Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Mott Haven Professional Medical of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
CHS Physician Partners, P.C CurrentSince Sep 1, 2021 Accepting new patients
St Charles Hospital Corp CurrentSince Sep 1, 2021 Accepting new patients
Rockford Health Physicians CurrentSince Nov 7, 2015 Accepting new patients
Mott Haven Medical of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Sep 1, 2021 Accepting new patients
DLP Marquette Physician Practices Inc Surgery CurrentSince Jan 1, 2023 Accepting new patients
St. Francis Medical Center Current Accepting new patients
Fordham Medical of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
Washington Heights Medical of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
Pelham Pkwy Professional Medical Services of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Pelham Pkwy Medical of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
St. Nicholas Medical of New York, LLC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Medical Center CurrentSince Sep 1, 2021 Accepting new patients
St John'S Medical Services PC CurrentSince Jan 9, 2023 Accepting new patients
Foxhurst Medical of New York LLC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Bethpage Medical, PLLC Past Accepting new patients
St Francis Medical Center PastSince Apr 1, 2026 Accepting new patients
Foxhurst Professional Medical Services of New York LLC PastSince Mar 1, 2025 Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Mar 1, 2025 Accepting new patients
Nrad Medical Associates, PC Surgery Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

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

  • Direct secure messaging: ibreitman57457@direct.crmcwy.org
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 29

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

Verify at the official NPI Registry.