BREA S. PRINDAVILLE M.D. – NPI #1912134529
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

BREA PRINDAVILLE is a dermatologist located in PROVIDENCE, RI. NPPES has assigned the NPI number 1912134529 to BREA PRINDAVILLE on June 22, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was last updated on Apr 28, 2026. 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 BREA PRINDAVILLE below.

NPI Profile for
BREA S. PRINDAVILLE

NPI Number
1912134529
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BREA S. PRINDAVILLE
Credentials
M.D.
Primary location
148 W RIVER ST STE 1B
PROVIDENCE, RI 02904
Phone: (401) 273-9310 Fax: (401) 273-1270
2 Other location(s):
153 E Washington St
North Attleboro, MA 02760-2312
Phone: (508) 699-7546
Fax: (508) 699-7570
1672 S County Trl
East Greenwich, RI 02818
Phone: (401) 885-7546
Fax: (508) 885-6639
Mailing address
526 MAIN ST STE 302
ACTON, MA 01720-3301
Phone: (978) 371-7010 Fax: (978) 371-0522
Sole Proprietor
No
Updated
Certification Date
Apr 28, 2026

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
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)
RI MD15774
208000000X
- Pediatrics
MA 265523
207N00000X
- Dermatology
MA 265523

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.