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DR. TREVOR WILLIAM BREISCH PHARMD
NPI 1306229661
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Madison, WI

Active since July 06, 2015
4602 EASTPARK BLVD, MADISON, WI 53718(608) 440-6360 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2017, Aug 11, 2016 (2 updates tracked since 2016).

About Dr. Trevor William Breisch Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TREVOR WILLIAM BREISCH PHARMD (NPI 1306229661) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Madison, Wisconsin, licensed in Wisconsin (17972-40) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1306229661
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. TREVOR WILLIAM BREISCHCredential: PHARMD
Location Address4602 EASTPARK BLVDMadison, WI 53718-2002
Mailing Address2100 Stone Crest RdStoughton, WI 53589-4279 · (608) 845-3750
Phone(608) 440-6360
Sole ProprietorNo
Enumeration DateJuly 6, 2015
Last NPPES UpdateJune 15, 20222 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
✔ NPI 1306229661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WI · 17972-40
Definition
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.
Also ListedPharmacistTaxonomy 183500000X · License 17972-40 (WI)
4602 EASTPARK BLVD, Madison, WI 53718
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIKA A FEHRENBACH PRELL NP
Nurse Practitioner
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 262-5212
SCOTT LIEGEL
Physician Assistant
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 263-7540
MS. SAMANTHA SUSAN REBHOLZ-HERTZ PT, DPT
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 592-8100
KYLE MICHAEL BERG DPT, PT
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 440-6400
COLTEN HAACK DPT
Physical Therapist (Sports)
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 440-6400
BETTY ALLEN MD
Surgery
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 242-2888
KYLIE NICOLE FULTON PT, DPT
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 440-6400
DAVID J MANCUSO LMT
Massage Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 262-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Breisch's NPI number?

The NPI number for Trevor Breisch is 1306229661. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Trevor Breisch located?

Trevor Breisch practices at 4602 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 440-6360.

What is Trevor Breisch's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Trevor Breisch was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.