Breckon D Pav, MD
Emergency Medicine in Dorchester, Massachusetts
1033431358- Practice location
- 2100 Dorchester Ave, Dorchester, MA 02124
- Phone
- 617-296-4000
- Fax
- —
- Last updated
- July 16, 2018
Breckon Daniel Pav is an Emergency Medicine based in Dorchester, MA. Breckon Daniel Pav practices in Dorchester, MA and has the professional credentials of MD. The NPI Number for Breckon Daniel Pav is 1033431358 and holds a License No. 2012-00076 (NC). The current practice location address for Breckon Daniel Pav is 2100 Dorchester Ave, Dorchester, MA 02124 and can be reached out via phone at 617-296-4000.
Provider Profile Details
- NPI Number
- 1033431358
- Provider Name
- Breckon Daniel Pav
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2100 Dorchester Ave, Dorchester, MA 02124
- Phone Number
- 617-296-4000
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 1, 2010
- Last Update Date
- July 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2100 Dorchester Ave
Dorchester, MA 02124 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02124
- Phone Number
- 617-296-4000
Provider Business Mailing Address Details
- Address
- 2100 Dorchester Ave
Dorchester, MA 02124-5666 - City
- Dorchester
- State
- MA
- Zip
- 02124-5666
License Information
- License Number (1)
- 2012-00076
- License State (1)
- NC
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- ME111129
- License State (2)
- FL
- Taxonomy (2)
- Emergency Medicine · 207P00000X
- License Number (3)
- 273890
- License State (3)
- MA
- Taxonomy (3)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Breckon D Pav, MD?
The NPI number of Breckon D Pav, MD is 1033431358. It was assigned on March 1, 2010 and is currently active in the NPPES registry.
What is the specialty of Breckon D Pav, MD?
Breckon D Pav, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NC under license number 2012-00076.
Where does Breckon D Pav, MD practice?
The practice location is 2100 Dorchester Ave, Dorchester, MA 02124. The office can be reached at 617-296-4000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033431358 directly on the NPPES registry website.