Breakaway Health Services LLC
NPI 1528777505 · Family Medicine Physician · Manchester, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Breakaway Health Services LLC is a Family Medicine Physician organization in Manchester, CT (NPI 1528777505).
Provider details
- NPI number
- 1528777505
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tim Bombard, Owner(860) 214-4513
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-18
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Frequently asked questions
- What is Breakaway Health Services LLC's NPI number?
- Breakaway Health Services LLC's National Provider Identifier (NPI) is 1528777505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breakaway Health Services LLC?
- Breakaway Health Services LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Breakaway Health Services LLC located?
- Breakaway Health Services LLC's practice location on file with NPPES is 843 Main St # 15, Manchester, CT 06040-6020.
- What is Breakaway Health Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Breakaway Health Services LLC is (860) 648-3001.
- Does Breakaway Health Services LLC accept Medicare?
- Breakaway Health Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Breakaway Health Services LLC?
- The authorized official listed on Breakaway Health Services LLC's NPPES record is Tim Bombard, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breakaway Health Services LLC's NPI active?
- Yes — Breakaway Health Services LLC's NPI (1528777505) is active in the NPPES registry as of the last update on 2024-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.