Dr. Igal Breitman
Dr. Igal Brightman · Surgery

Address: 2300 N Rockton Ave, Rockford, IL 61103-3619
Phone: 8159712000

Dr. Igal Breitman (NPI# 1881973014) 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) 1881973014
Entity Type Individual
Full Name Dr. Igal Breitman
Other Name Dr. Igal Brightman
Credential M.D.
Gender Male
Practice Address 2300 N Rockton Ave
Rockford
IL 61103-3619
Practice Telephone 8159712000
Mailing Address 24701 Euclid Ave
Third Floor Billing Services
Euclid
OH 44117-1714
Mailing Telephone 4402143111
Mailing Fax Number 4402853216
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-08-05
Last Update Date 2017-03-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care 662 TN
Yes 208600000X Surgery Allopathic & Osteopathic Physicians 35-121676 OH

Other Provider Identifier

State Identifier Issuer Type Code
TN 662 OTHER TENNESSEE MEDICAL BOARD

Physician Overview

NPI 1881973014
PAC ID by PECOS 7719121847
Professional Enrollment ID I20151217002288
Full Name Igal Breitman
Organization Legal Name ROCKFORD HEALTH PHYSICIAN
Phone Number 8159712000
Gender M
Graduation Year 1998
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 2567374036
Number of Group Practice Members 327
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140239 ROCKFORD MEMORIAL HOSPITAL
140160 FHN MEMORIAL HOSPITAL

Office Location

Street Address 2300 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-3619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851394696 Affiliated Surgeons of Rockford LLC Surgery 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 2005-05-24
1346716693 Chelsea Smith Nurse Practitioner 2300 N Rockton Ave, Gastroenterology, Rockford, IL 61103-3619 2018-10-15
1336634179 Molly Grosvenor Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-06-25
1750870291 Lori Ann Moroz Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-05-09
1063914760 Erika J Oltmanns Dietitian, Registered 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-03-08
1578074753 Dennis Durano Magdadaro Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2017-10-16
1407387020 Kamela Harmon Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2017-03-24
1528429958 Emily Gawaran Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2016-03-13
1427423458 Elise Tabary Dietitian, Registered 2300 N Rockton Ave, Rockford, IL 61103-3619 2015-12-02
1811382427 Andrea Dawn Bowmar Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2015-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1902837834 Jane L. Steffen Nurse Practitioner 2601 N Main St, Rockford, IL 61103 2006-07-06
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1962854083 Swedishamerican Hospital Internal Medicine 2601 N Main St, Rockford, IL 61103 2016-07-13
1699162099 Mayank Somabhai Patel Internal Medicine 2400 N Rockton Ave, Rockford, IL 61103 2015-04-23
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750584058 Elisha Jamyce Robinson Surgery 2509 Mandrake Dr, Rockford, IL 61108-8132 2007-06-06
1871585034 Frederick William Church Surgery 7180 Spring Brook Rd, Suite B, Rockford, IL 61114-6700 2005-08-15
1326486895 Daniel Clark Painter Surgery 1340 Charles St, Suite 100, Rockford, IL 61104-2200 2013-06-06
1770846974 Krystle N Lange Surgery 1340 Charles St Ste 100, Rockford, IL 61104-2200 2012-06-21
1518253640 Lacey M Stelle Surgery 1340 Charles St Ste 100, Rockford, IL 61104-2200 2011-06-27
1447550884 Tetsuya Takeuchi Surgery 5668 E State St, Rockford, IL 61108-2464 2010-11-02
1558686709 Michael Anthony Hart Surgery 5668 E State St, Rockford, IL 61108-2464 2010-03-31
1285965905 John Eric Player Surgery 5668 E State St, Suite 1000, Rockford, IL 61108-2464 2010-01-20
1912146119 Kbclinic Surgery 5666 East State Street, Ambulatory Surgery Center/ Dr Blumofe, Rockford, IL 61108-2425 2009-02-11
1265609739 Mehul Pravin Soni Surgery 5668 E State St, Suite 1000, Rockford, IL 61108-2464 2008-05-13
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61103

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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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