BREA PRINDAVILLE, M.D.
Pediatric Dermatology Physician · PROVIDENCE, RI
Individual Active NPI 1912134529
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pediatric Dermatology Physician | 207NP0225X | ✓ | MD15774 | RI |
| Dermatology Physician | 207N00000X | 265523 | MA | |
| Pediatrics Physician | 208000000X | 265523 | MA | |
| Pediatrics Physician | 208000000X | MD15774 | RI | |
| Dermatology Physician | 207N00000X | MD15774 | RI | |
| Pediatric Dermatology Physician | 207NP0225X | 265523 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.