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

Dr. Lawrence Jordan Breyfogle, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710509872

Dr. Lawrence Jordan Breyfogle, MD is a Diagnostic Radiology in Cambridge, Massachusetts. Graduated from Tufts University School of Dental Medicine in 2020, 6 years ago. Licensed in Michigan.

Years since qualifying
6
Trained at
Tufts University School of Dental Medicine
Licensed in
MI
In the registry since
2020
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

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone: (617) 499-5070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351046184 (MI)

Record details

NPI number1710509872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address330 Mount Auburn St, Cambridge, MA 02138-5502

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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