DR. MATTHEW J. BREAM (NPI# 1356609549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356609549 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW J. BREAM |
| Credential | MD |
| Practice Address |
3319 Spring Street Davenport IA 52807-2125 |
| Practice Telephone | 5633591641 |
| Practice Fax Number | 5633594634 |
| Mailing Telephone | 5633591641 |
| Mailing Fax Number | 5633594634 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 000000000 | OH | Student, Health Care |
| Street Address |
3319 SPRING STREET |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344287 | Ghasoub Harb | Urology | 3319 Spring Street, Urological Assc PC, Davenport, IA 52807 | 2005-05-24 |
| 1720265366 | Jessica A Witter | Nurse Practitioner | 3319 Spring Street, Davenport, IA 52807-2125 | 2008-01-25 |
| 1942496286 | Kathleen Marie Nenninger | Urology | 3319 Spring Street, Davenport, IA 52807 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869179 | Zachary Austin Earl Thiesing | Student in an Organized Health Care Education/Training Program | 325 Via Del Sol Dr, Davenport, FL 33896-6624 | 2020-04-12 |
| 1740839042 | Jason Zinnel | Student in an Organized Health Care Education/Training Program | 3438 Washington St, Davenport, IA 52806-5608 | 2019-09-09 |
| 1932758265 | Ellyn Joy Watters | Student in an Organized Health Care Education/Training Program | 3501 Jersey Ridge Rd Apt 704, Davenport, IA 52807-2248 | 2019-09-09 |
| 1710533047 | Devin Stane | Student in an Organized Health Care Education/Training Program | 7211 Cedar St, Davenport, IA 52806-1113 | 2019-08-13 |
| 1023570801 | Amanda Campbell | Student in an Organized Health Care Education/Training Program | 764 Lobelia Dr, Davenport, FL 33837-9122 | 2019-04-02 |
| 1851879183 | Shyanne Saladino | Student in an Organized Health Care Education/Training Program | 3512 N Pine St, Davenport, IA 52806-5256 | 2018-07-30 |
| 1851802276 | Sam Xavier Funk | Student in an Organized Health Care Education/Training Program | 1536 W Central Park Ave, Davenport, IA 52804-1741 | 2017-10-12 |
| 1073907317 | Austin Smith | Student in an Organized Health Care Education/Training Program | 2216 W 30th St, Davenport, IA 52804-1408 | 2015-03-25 |
| 1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
| 1720695307 | Jordan Barber | Student in an Organized Health Care Education/Training Program | 1320 W Lombard St, Davenport, IA 52804-2029 | 2020-09-28 |
| Find all providers in DAVENPORT | ||||
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| 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.