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

Dr. Breton Roussel, MD

Individual provider Internal Medicine Physician · NPI 1215385661

Dr. Breton Roussel, MD is a Gastroenterology in Providence, Rhode Island. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2016, 10 years ago. Practices with University Gastroenterology, LLC, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
10
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

33 Staniford St
Providence, RI 02905-4923
Phone: (401) 421-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD16607 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD16607 (RI)

Record details

NPI number1215385661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2016
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address33 Staniford St Ffl 2, Providence, RI 02905-3105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2016 (10 years in practice)
Group practice University Gastroenterology, Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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