DR. LAWRENCE J BRECKER (NPI# 1407847163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407847163 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE J BRECKER |
| Credential | M.D. |
| Practice Address |
1110 E Missouri Ave 600 Phoenix AZ 85014-2707 |
| Practice Telephone | 6022774455 |
| Practice Fax Number | 6022779654 |
| Mailing Telephone | 6022774455 |
| Mailing Fax Number | 6022779654 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 7945 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0053690 | 01 |
| AZ | PALMETTO GBA RAILROAD MED | 071627735 | 01 |
| AZ | AHCCCS | 245979 | 01 |
| Street Address |
1110 E MISSOURI AVE 600 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649643602 | Elite View Imaging LLC | Radiology | 1110 E Missouri Ave, Suite 140, Phoenix, AZ 85014-2707 | 2015-11-12 |
| 1336532324 | Shelley Uram | Psychiatry & Neurology | 1110 E Missouri Ave, Suite 390, Phoenix, AZ 85014-2707 | 2015-03-15 |
| 1881087872 | S. Uram Consulting, Pllc | Clinic/Center | 1110 E Missouri Ave, Suite 390, Phoenix, AZ 85014-2707 | 2015-03-15 |
| 1740575299 | American Dynamic Imaging Ltd | Clinic/Center | 1110 E Missouri Ave, Suite 410, Phoenix, AZ 85014-2707 | 2011-06-13 |
| 1679898407 | Stephen Borowsky, M.d., P.C. | Anesthesiology | 1110 E Missouri Ave, Suite 110, Phoenix, AZ 85014-2707 | 2010-04-05 |
| 1740468883 | Laura Jean Kassymova | Psychologist | 1110 E Missouri Ave, Suite 160, Phoenix, AZ 85014-2707 | 2008-01-31 |
| 1386836351 | Dermatology Clinic Ltd | Dermatology | 1110 E Missouri Ave, 600, Phoenix, AZ 85014-2707 | 2007-08-14 |
| 1578606323 | Gary Andrew Longmuir | Chiropractor | 1110 E Missouri Ave, Suite 395, Phoenix, AZ 85014-2707 | 2007-02-14 |
| 1417002874 | Standup Mri of America IIi | Radiologic Technologist | 1110 E Missouri Ave, Suite 410, Phoenix, AZ 85014-2707 | 2007-01-24 |
| 1285721001 | Laurie Jo Rice | Specialist/Technologist | 1110 E Missouri Ave, Ste 160, Phoenix, AZ 85014-2707 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1396122727 | Thomas Lee | Dermatology | 2525 W Carefree Hwy Ste 144, Phoenix, AZ 85085-6096 | 2015-05-06 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1215374186 | Ramin Fathi | Dermatology | 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390 | 2013-05-31 |
| 1699087809 | Morgan James Mackey | Dermatology | 9327 N 3rd St Ste 206, Phoenix, AZ 85020-2473 | 2010-07-06 |
| 1609900299 | Lindsay Skye Ackerman | Dermatology | 1331 N 7th St Ste 250, Phoenix, AZ 85006-2722 | 2007-03-15 |
| 1538238373 | Susan Il Iorio | Dermatology | 4400 N. 32nd Street, Ste250, Phoenix, AZ 85018 | 2006-11-07 |
| 1598869687 | Mark Richard Rosenberg | Dermatology | 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 | 2006-09-11 |
| 1538272596 | Peter J. Casper | Dermatology | 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 | 2006-08-16 |
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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.