Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breakaway Health Services LLC

Organization Family Medicine Physician · NPI 1528777505

Breakaway Health Services LLC is a Family Medicine Physician in Manchester, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

843 Main St # 15
Manchester, CT 06040-6020
Phone: (860) 648-3001
Fax: (860) 648-3003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1528777505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Bombard — Owner · (860) 214-4513
NPI enumeratedNovember 18, 2022
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address694 Palisado Ave, Windsor, CT 06095-2037

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