IndividualActive
Breton Roussel, M.D.
NPI 1215385661 · Gastroenterology Physician · Providence, RI
Provider details
- NPI number
- 1215385661
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD16607 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
33 Staniford Street
Providence, RI 02905-4923
Phone: (401) 421-8800
Approximate (ZIP-level) locationGet directions
Mailing address
33 Staniford St Ffl 2
Providence, RI 02905-3105
Registry dates
- Enumerated
- 2016-05-26
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.