Breckenridge, Charles William

Breckenridge, Charles William is an individual health care provider with primary practice located at 5917 Crosstown Expressway Sh 286 , Corpus Christi TX 78417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Breckenridge, Charles William can be contacted via phone (361) 854-0811.

Contact Information

Primary practice address
5917 Crosstown Expressway Sh 286 Corpus Christi TX 78417
Fax: (361) 806-5040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X J8212 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X J8212 Texas

Profile Details

NPI number 1366454662
LBN Legal business name Breckenridge, Charles William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366454662 NPPES
Texas MEDICAID 1106783-02

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