Brea Shay Prindaville, M.D.

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

License

MD15774 Issued in RI

Practice address

148 W River St Ste 1B
Providence, RI 02904

Phone

(401) 273-9310

Fax

(401) 273-1270

NPI assigned

Jun 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 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 2

Specialty

DermatologyAlso: Pediatric Medicine

Education

New York University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Professionals LLCGroup PAC ID 1254653355, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bprindaville@apderm.emadirect.md

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.

• Dermatology Professionals, LLC

  • Dermatology Physician
  • North Attleboro, MA
  • NPI 1992123525
  Medicare reassignment Care Compare group NPD
• Dermatology Professionals Inc.

  • Dermatology Physician
  • East Greenwich, RI
  • NPI 1902040835
  Medicare reassignment NPD
• Coastal Dermatology Inc

  • Dermatology Physician
  • Westport, MA
  • NPI 1760927610
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1912134529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST STE 1B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-273-9310",
            "fax_number": "401-273-1270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1672 S County Trl",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "02818",
            "country_code": "US",
            "telephone_number": "401-885-7546",
            "fax_number": "508-885-6639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 E Washington St",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027602312",
            "country_code": "US",
            "telephone_number": "508-699-7546",
            "fax_number": "508-699-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINDAVILLE",
        "first_name": "BREA",
        "middle_name": "SHAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "RI",
            "license": "MD15774",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "265523",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "265523",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD15774",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD15774",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "MA",
            "license": "265523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Howard Price, MD
• Marilyn Price, MD
• Jennifer Marie Primack, PH.D.
• Prime Drug Inc
• Anna Prince, LICSW
• Kathleen Mary Pringle, RN
• Ashley Proal, AGACNP-BC
• Allison Proano, PA
• Lawrence Proano, MD
• Gianna Elizabeth Procaccini

• Pediatric Dermatology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Pediatric Dermatology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.