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Physician Compare National (NPI:1316016389)

HEALTHCARE PROVIDER: ROSWITHA ELISABETH BREUER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1316016389
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0749385680
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070420000377
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BREUER
Individual professional last name
Provider First Name ROSWITHA
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1971
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GENERAL PRACTICE
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 PEDIATRIC MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GENERAL PRACTICE, PEDIATRIC MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 146 E 4TH ST
Group Practice or individual's line 1 address
City PERRIS
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 925702125
Group Practice or individual's zip code (9 digits when available)
Phone Number 9519562152
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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