National Provider Identifier Database

DAVID T BREAULT, MD, PHD – NPI #1295810042
Pediatric Endocrinology

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.


Contact Information

DAVID T BREAULT, MD, PHD
300 LONGWOOD AVE
BOSTON, MA02115-5724
Phone: 617-919-2863
Fax: 617-730-0244
Website:
Specialty Taxonomy Code
* Pediatric Endocrinology 2080P0205X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for DAVID T BREAULT

NPI Number 1295810042
Credentials MD, PHD
Entity Individual
Enumeration date 10/26/2006
Last updated 08/17/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 212975
  • MA Medicaid: 2001055
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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