Dr. Brea S Prindaville, MD
Dermatology, Pediatric Dermatology in Providence, Rhode Island
1912134529- Practice location
- 148 W River St Ste 1B, Providence, RI 02904
- Phone
- 401-273-9310
- Fax
- 401-273-1270
- Last updated
- April 28, 2026
Brea Shay Prindaville is a Dermatology, Pediatric Dermatology based in Providence, RI. Brea Shay Prindaville practices in Providence, RI and has the professional credentials of MD. The NPI Number for Brea Shay Prindaville is 1912134529 and holds a License No. MD15774 (RI). The current practice location address for Brea Shay Prindaville is 148 W River St Ste 1B, Providence, RI 02904 and can be reached out via phone at 401-273-9310 and via fax at 401-273-1270.
Provider Profile Details
- NPI Number
- 1912134529
- Provider Name
- Brea Shay Prindaville
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 148 W River St Ste 1B, Providence, RI 02904
- Phone Number
- 401-273-9310
- Fax Number
- 401-273-1270
- Primary Taxonomy
- Dermatology, Pediatric Dermatology · 207NP0225X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2009
- Last Update Date
- April 28, 2026
- Certification Date
- April 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 148 W River St Ste 1B
Providence, RI 02904 - City
- Providence
- State
- Rhode Island
- Zip
- 02904
- Phone Number
- 401-273-9310
- Fax Number
- 401-273-1270
Provider Business Mailing Address Details
- Address
- 526 Main St Ste 302
Acton, MA 01720-3301 - City
- Acton
- State
- MA
- Zip
- 01720-3301
- Phone Number
- 978-371-7010
- Fax Number
- 978-371-0522
License Information
- License Number (1)
- MD15774
- License State (1)
- RI
- Taxonomy (1)
- Dermatology, Pediatric Dermatology · 207NP0225X · Primary
- License Number (2)
- 265523
- License State (2)
- MA
- Taxonomy (2)
- Dermatology · 207N00000X
- License Number (3)
- 265523
- License State (3)
- MA
- Taxonomy (3)
- Pediatrics · 208000000X
- License Number (4)
- MD15774
- License State (4)
- RI
- Taxonomy (4)
- Pediatrics · 208000000X
- License Number (5)
- MD15774
- License State (5)
- RI
- Taxonomy (5)
- Dermatology · 207N00000X
- License Number (6)
- 265523
- License State (6)
- MA
- Taxonomy (6)
- Dermatology, Pediatric Dermatology · 207NP0225X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology, Pediatric Dermatology providers near Providence, RI
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- Victoria M FlynnPhysician Assistant · NPI 1750122842
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- Shelby N Dahl, PAPhysician Assistant · NPI 1891632212
- Mrs. Allison L Abbott, NPNurse Practitioner, Family · NPI 1962741348
- Anne B Bercovitch, MDDermatology · NPI 1770554131
Frequently Asked Questions
What is the NPI number of Dr. Brea S Prindaville, MD?
The NPI number of Dr. Brea S Prindaville, MD is 1912134529. It was assigned on June 22, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Brea S Prindaville, MD?
Dr. Brea S Prindaville, MD is registered under the primary taxonomy Dermatology, Pediatric Dermatology (code 207NP0225X), licensed in RI under license number MD15774.
Where does Dr. Brea S Prindaville, MD practice?
The practice location is 148 W River St Ste 1B, Providence, RI 02904. The office can be reached at 401-273-9310 (phone) or 401-273-1270 (fax).
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 1912134529 directly on the NPPES registry website.