Breakey Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BREAKEY PROSTHETICS, INC.

Practice address

820 Malone Rd
San Jose, CA 95125-2639

Phone

(408) 723-0883

Fax

(408) 723-0890

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mike Dennis Gidding, CP

Title

President

Phone

(408) 723-0883

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348963200000",
    "number": "1952301640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MALONE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252639",
            "telephone_number": "408-723-0883",
            "fax_number": "408-723-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MALONE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252639",
            "telephone_number": "408-723-0883",
            "fax_number": "408-723-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKEY PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-09-30",
        "status": "A",
        "authorized_official_last_name": "GIDDING",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-723-0883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFB000040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Alexandra Bravo
• Sandra Bravo, LCSW
• Wendy Bravo, MA
• Dana Louise Brawerman
• John Gray Brawley III, M.D.
• Lisa Breakey, MA
• Breakthrough Counseling, a Licensed Clinical Social Worker Corporation
• Breathe California of the Bay Area, Golden Gate, and Central Coast
• Elizabeth Rachel Breckenridge
• Theresa Lynn Brees, LCSW

• Prosthetic/Orthotic Supplier in San Jose, CA
• Providers in San Jose, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.