Active NPI
Robert Mendel Breslow, R.PH.
- Pharmacotherapy Pharmacist
- Madison, WI
National Provider Identifier
1962499665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 9005
- Practice address
- 777 Highland Ave
Madison, WI 53705-2222 - Phone
- (608) 262-1416
- Fax
- (608) 262-3397
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 9005 | WI | Primary |
Addresses
Primary practice location
777 Highland Ave
Madison, WI 53705-2222
Mailing address
4560 Goldmine Rd
Dodgeville, WI 53533-8917
Phone (608) 935-5717
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)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9005 | WI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1962499665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 GOLDMINE RD",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535338917",
"telephone_number": "608-935-5717",
"fax_number": "608-265-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HIGHLAND AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537052222",
"telephone_number": "608-262-1416",
"fax_number": "608-262-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESLOW",
"first_name": "ROBERT",
"middle_name": "MENDEL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WI",
"license": "9005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.