Individual provider · Type 1 NPI
Brea Shay Prindaville, MD
Pediatric Dermatology Physician · Providence, RI
NPI number
1912134529
Active
Practice location
148 W River St Ste 1B
Providence, RI 02904
Fax (401) 273-1270
Mailing address
526 Main St Ste 302
Acton, MA 01720-3301
Other practice locations
- 153 E Washington St, North Attleboro, MA 02760-2312 · (508) 699-7546
- 1672 S County Trl, East Greenwich, RI 02818 · (401) 885-7546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dermatology Physician Primary | 207NP0225X | MD15774 (RI) |
| Dermatology Physician | 207N00000X | 265523 (MA) |
| Pediatrics Physician | 208000000X | 265523 (MA) |
| Pediatrics Physician | 208000000X | MD15774 (RI) |
| Dermatology Physician | 207N00000X | MD15774 (RI) |
| Pediatric Dermatology Physician | 207NP0225X | 265523 (MA) |
Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
2 other providers at this address
About NPI 1912134529
Brea Shay Prindaville, MD's National Provider Identifier is 1912134529, issued on Jun 22, 2009. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in Providence, RI. The record was last updated on Apr 28, 2026.