Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 237700 | MA |
N | 207X00000X | Orthopaedic Surgeon | 5276 | AK |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 5276 | AK |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | 5276 | AK |
NPI | 1659435071 |
---|---|
Provider Name | Dr. Julius Stephen Brecht |
First Address | Springfield, MA 01107-1107 |
Second Address | Springfield, MA 01107-1107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 17/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2162831 | (05) | MA |
H84178 | (02) | MA |