BRECKON DANIEL PAV


Address: 2100 Dorchester Ave, Dorchester, MA 02124
Phone: 6172964000

BRECKON DANIEL PAV (NPI# 1033431358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033431358
Entity Type Individual
Full Name BRECKON DANIEL PAV
Credential M.D.
Practice Address 2100 Dorchester Ave
Dorchester
MA 02124
Mailing Address 2100 Dorchester Ave
Dorchester
MA 02124-5666
Practice Telephone 6172964000
Enumeration Date 2010-03-01
Last Update Date 2018-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 273890 MA Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 2012-00076 NC Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine ME111129 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 2100 DORCHESTER AVE
City DORCHESTER
State MA
Zip Code 02124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457965998 Linda Aguiar Nurse Practitioner 2100 Dorchester Ave, Dorchester, MA 02124-5666 2020-09-02
1306459128 Ahmed Elsabbagh Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2020-08-31
1184233777 Joseph Sarhan Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2020-07-29
1972121879 Ashley Alexander Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2020-07-08
1699393785 Fnu Sameeullah Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2020-07-06
1508483033 Chinonso Nduaguba Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5666 2020-06-30
1760009583 Harumi Esther Tokashiki Molina Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2020-06-26
1174140172 Dennis Dwan Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2020-06-25
1073139176 Emeka Agudile Internal Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2020-06-24
1801412077 Zachary James Carroll Physical Therapist 2100 Dorchester Ave, Dorchester, MA 02124-5666 2020-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109599 Yolanda Barner Behavioral Analyst 241 Norfolk St, Dorchester, MA 02124 2020-03-23
1144878489 Marissa Sneed Case Manager/Care Coordinator 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 2019-08-29
1407413487 Adrian Velasquez Md LLC Internal Medicine 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 2019-05-24
1164908794 Genesis 365 Care LLC Home Health Aide 114 Fuller St # 1, Dorchester, MA 02124 2018-07-17
1821581422 Prince Nwaford Psychologist 176 Harvard Street, 2, Boston, MA 02124 2018-06-08
1073026753 Massachusetts Chiropractic Center LLC Chiropractor 879-881 Blue Hill Avenue, Dorchester, MA 02124 2017-11-16
1770096620 Aly Tran Behavior Technician 232 Centre St, Dorchester, MA 02124 2017-11-14
1326564386 Mildred R Gomez Community Health Worker 108 Norfolk St, Dorchester, MA 02124 2017-08-21
1871025585 Dwight Dorcy Assistant Behavior Analyst 7 Samoset St # 3, Dorchester, MA 02124 2017-03-31
1346793452 Jennie Lee Nurse Practitioner 425 Harvard St, Dorchester, MA 02124 2016-07-26
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679732317 Joshua Steven Hundert Emergency Medicine 2100 Dorchester Ave Ste 2204, Dorchester, MA 02124-5615 2008-06-07
1265810782 Ryan O'hara Emergency Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2015-05-16
1740620426 Swati Reddy Dhanireddy Emergency Medicine 2100 Dorchester Ave, Dorchester, MA 02124-5615 2013-06-26
1396056826 Serena Jiddou Emergency Medicine 2100 Dorchester Ave, Dorchester, MA 02124 2010-06-30
1972561462 Steven Bellin Emergency Medicine 2100 Dorchester Ave, Dorchester, MA 02124 2006-05-03
1235197732 Leslie Cioffi Emergency Medicine 2100 Dorchester Ave, Dorchester, MA 02124 2006-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255931937 Skylight Health Group Ma PC Emergency Medicine 49 River St Ste 4, Waltham, MA 02453-8345 2020-10-30
1417508284 Nuch of Massachusetts, LLC Emergency Medicine 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 2019-09-24
1518523810 Center for Vein Restoration Ma LLC Emergency Medicine 3640 Main St Ste 302, Springfield, MA 01107-1134 2019-05-13
1629555842 Dispatchhealth Massachusetts PC Emergency Medicine 123 Park Ave, West Springfield, MA 01089-3337 2018-07-20
1366947954 Karrin Weisenthal Emergency Medicine 1 Boston Pl Rm 1322, Boston, MA 02108 2018-03-27
1942705884 Jillian Britt Duffy Emergency Medicine 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 2018-03-23
1316464621 Katelyn Anne Brightman Emergency Medicine 30 Florence St, Somerville, MA 02145-4307 2017-08-28
1245760024 Nicholas D. Kurtzman Emergency Medicine One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 2017-06-14
1821528746 Daniel Lapidus Emergency Medicine 1963 Commonwealth Ave, Brighton, MA 02135-5937 2017-06-13
1942730007 Alec John Koffer Emergency Medicine 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 2017-06-12
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Competitor

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City DORCHESTER
Zip Code 02124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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