Jerome F Breen
Radiology (Diagnostic Radiology)

Address: 200 1st St Sw, Rochester, MN 55905-0001
Phone: 5072842511

Jerome F Breen (NPI# 1578536926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578536926
Entity Type Individual
Full Name Jerome F Breen
Credential M.D.
Gender Male
Practice Address 200 1st St Sw
Rochester
MN 55905-0001
Practice Telephone 5072842511
Mailing Address 200 1st St Sw
Rochester
MN 55905-0001
Mailing Telephone 5072842511
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-02-08
Last Update Date 2019-04-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 29316 MN
No 2085R0204X Radiology · Vascular & Interventional Radiology Allopathic & Osteopathic Physicians 29316 MN

Physician Overview

NPI 1578536926
PAC ID by PECOS 9638204050
Professional Enrollment ID I20100323000958
Full Name Jerome F Breen
Organization Legal Name MAYO CLINIC
Phone Number 5072555123
Gender M
Medical School UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1984
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 6507778255
Number of Group Practice Members 3865
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240010 MAYO CLINIC HOSPITAL ROCHESTER
240043 MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306333109 John Warren Kirby Radiology 200 1st St Sw # 507284, Rochester, MN 55905 2018-04-17
1235687088 Jeffery E. Illman Radiology 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 2016-09-21
1518209675 Peter Alan Dvorak Radiology 36 Edgemont Rd, Rochester, NY 14620-4520 2013-03-26
1144519992 Daniel C Oppenheimer Radiology 601 Elmwood Ave Box 648, Rochester, NY 14642-1016 2011-04-01
1992094072 Joel P Thompson Radiology 995 Senator Keating Blvd Ste 100, Rochester, NY 14618-2777 2011-03-29
1871793570 Ian Jermaine Wilson Radiology 1892 Winton Rd S Ste 190, Rochester, NY 14618-3996 2007-07-20
1487860482 Nadia Fatima Yusaf Radiology 2623 South Clinton Ave, Rochester, NY 14618-2623 2007-05-15
1356413470 Man-mei Nadine Su Radiology 1776 11th Ave Ne, Rochester, MN 55906-4215 2006-11-14
1639184377 Arun Basu Radiology 601 Elmwood Ave # 648, Rochester, NY 14642-0001 2006-07-30
1811901135 Devang Butani Radiology 601 Elmwood Ave / Univ. of Roch. Med Ctr, Imaging Sciences, Box 648, Rochester, NY 14642-1698 2006-07-29
Find all providers in ROCHESTER

Office Location

Street Address 200 1ST ST SW
City ROCHESTER
State MN
Zip Code 55905-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497250682 Patrick Michael Flanigan Neurological Surgery 200 1st St Sw, Rochester, MN 55905 2018-03-28
1245886142 Jill Kristine Sanchez Physician Assistant 200 1st St Sw, Rochester, MN 55905-0001 2019-08-15
1477109593 Joanna Lynn Gullickson Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-08-14
1003462136 Philippe Paci Surgery 200 1st St Sw, Rochester, MN 55905-0001 2019-08-14
1447806765 Christen Marie Spikula Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-08-13
1710533922 Nicole Ashley Schiavone Occupational Therapist 200 1st St Sw, Rochester, MN 55905-0002 2019-08-13
1952957367 Hope Scheppelman Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-08-12
1225683022 Derek L Bates Dentist 200 1st St Sw, Rochester, MN 55905-0001 2019-08-08
1326693300 Sarah Leung Pharmacist 200 1st St Sw, Rochester, MN 55905-0001 2019-08-06
1366097370 Adrian Budhram Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891359907 Hallbera Gudmundsdottir Student in an Organized Health Care Education/Training Program 200 First Street Sw, Rochester, MN 55905 2019-04-24
1306333109 John Warren Kirby Radiology 200 1st St Sw # 507284, Rochester, MN 55905 2018-04-17
1679837637 Desiree Alaina Mohandas Dermatology 200 First St. Sw, Mayo Clinic, Rochester, MN 55905 2012-06-25
1033482872 Mayo Foundation for Medical Education & Research Durable Medical Equipment & Medical Supplies 200 1st St Sw Ste S148, Rochester, MN 55905 2012-02-09
1316269103 Nahid Y Vidal Dermatology 200 1st Street Sw Dermatology, Rochester, MN 55905 2010-02-19
1871829937 Karen Christine Lundholm Pharmacist 1216 2nd Street Sw, Rochester, MN 55905 2009-10-26
1689800260 Matthew Basiaga Pediatrics 200 1st Ave Ne, Rochester, MN 55905 2009-06-09
1366680720 Megan H. Nelson Surgery 200 First Street S.w., Rochester, MN 55905 2009-01-23
1639352198 Jill Marie Hunchis Nurse Practitioner 200 First St Sw, Rochester, MN 55905 2007-12-07
1619027265 Thomas Phillip Moyer Specialist/Technologist, Pathology 200 1st Street Southwest, H-730d, Rochester, MN 55905 2007-01-12
Find all providers in zip 55905

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City ROCHESTER
Zip Code 55905

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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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