Active NPI
Kevin J Breslin, M.D.
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1932106705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35054619B
- Practice address
- 7810 Five Mile Road
Group Health Associates
Cincinnati, OH 45230 - Phone
- (513) 246-7000
- Fax
- (513) 246-2876
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35054619B | OH | Primary |
Addresses
Primary practice location
7810 Five Mile Road
Group Health Associates
Cincinnati, OH 45230
Mailing address
4685 Forest Ave Ste C
Cincinnati, OH 45212-3359
Phone (513) 246-7796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 648777 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35054619B | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1932106705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE STE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123359",
"telephone_number": "513-246-7796",
"fax_number": "513-852-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7810 FIVE MILE ROAD",
"address_2": "GROUP HEALTH ASSOCIATES",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45230",
"telephone_number": "513-246-7000",
"fax_number": "513-246-2876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESLIN",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35054619B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "648777",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.