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

Mr. Edward Justin Breiby, PA

Individual provider Physician Assistant · NPI 1154421899

Mr. Edward Justin Breiby, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2002, 24 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-7876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-6110 — (781) 744-8085

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1531 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1531 (MA)

Record details

NPI number1154421899
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 23, 2006
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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