DR. LAWRENCE JORDAN BREYFOGLE MD
NPI 1710509872
Student in an Organized Health Care Education/Training Program in Cambridge, MA
About Dr. Lawrence Jordan Breyfogle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAWRENCE JORDAN BREYFOGLE MD (NPI 1710509872) is an individual student in an organized health care education/training program in Cambridge, Massachusetts, licensed in Michigan (4351046184) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Dental Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lawrence Jordan Breyfogle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
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 Lawrence Breyfogle's NPI number?
The NPI number for Lawrence Breyfogle is 1710509872. It was assigned to this individual provider in the NPPES registry on May 12, 2020.
Where is Lawrence Breyfogle located?
Lawrence Breyfogle practices at 330 Mount Auburn St, Cambridge, MA 02138. The listed phone number is (617) 499-5070.
What is Lawrence Breyfogle's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Lawrence Breyfogle enrolled in Medicare?
Yes. Lawrence Breyfogle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lawrence Breyfogle was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Dr. Lawrence Jordan Breyfogle, MD · NPI 1710509872
Student in an Organized Health Care Education/Training Program provider in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since May 12, 2020.
## Identity
- **NPI:** 1710509872 (Entity type: Individual)
- **Enumerated:** May 12, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351046184 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 MOUNT AUBURN ST, Cambridge, MA 02138-5502
- **Phone:** (617) 499-5070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Tufts University School Of Dental Medicine, class of 2020
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710509872) · Data from the CMS NPPES public registry.