TREVOR W. BREISCH PHARMD – NPI #1306229661
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Health Care Provider Taxonomy Code for Pharmacist

TREVOR BREISCH is a pharmacist located in MADISON, WI. NPPES has assigned the NPI number 1306229661 to TREVOR BREISCH on July 06, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 4 years ago on Jun 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TREVOR BREISCH below.

NPI Profile for
TREVOR W. BREISCH

NPI Number
1306229661
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TREVOR W. BREISCH
Credentials
PHARMD
Primary location
4602 EASTPARK BLVD
MADISON, WI 53718-2002
Phone: (608) 440-6360 Fax:
Mailing address
2100 STONE CREST RD
STOUGHTON, WI 53589-4279
Phone: (608) 845-3750 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)		 WI 17972-40
183500000X
- Pharmacist		 WI 17972-40

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.