MEDICARE: DR. RICHARD A BRECH JR. D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	891	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BRY35607	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1669593505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A BRECH JR. D.C.

Provider Business Mailing Address
First Line	:	345 COURT ST
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4329
Country	:	US
Telephone Number	:	508-747-5617
Fax Number	:	508-746-7881

Provider Business Practice Location Address
First Line	:	345 COURT ST
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4329
Country	:	US
Telephone Number	:	508-747-5617
Fax Number	:	508-746-7881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. RICHARD A BRECH JR. D.C.” Practice Location

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