NPIMap

Organization Active NPI

Orthopedic Associates of Corpus Christi

Doing business as South Texas Bone and Joint

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1235170283
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF CORPUS CHRISTI
Doing business as
South Texas Bone and Joint
Practice address
5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417
Phone
(361) 854-0811
Fax
(361) 806-5040
NPI assigned
Jun 9, 2006
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles W Breckenridge, M.D.NPI 1366454662
Title
President of Oacc
Phone
(361) 854-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417

Mailing address

5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417
Phone (361) 854-0811

Other practice location 1

601 Texan Trl
Ste. 300
Corpus Christi, TX 78411-2549
Phone (361) 854-0811

Other identifiers 1

IdentifierTypeStateIssuer
1126369-07MedicaidTX

Other names 1

  • South Texas Bone and Joint Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429001564 TX Part B Supplier - Clinic/Group Practice 3274520242 Receives reassigned benefits from 45 practitioners
Practice locations: Beeville, TX; Portland, TX; Corpus Christi, TX; Alice, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2160860South Texas Bone and Joint5917 Crosstown Expressway SH 286, Corpus Christi, TX 78417AccreditationJul 2, 2027

National Provider Directory

National Provider Directory

Locations

2520 E Main St
Alice, TX 78332

1602 E Houston St
Ste A
Beeville, TX 78102
Phone (361) 354-2832

5917 Crosstown Expy
Ste 286
Corpus Christi, TX 78417

5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454

2606 Hospital Blvd
Ste 4W
Corpus Christi, TX 78405

114 Lang Rd
Portland, TX 78374
Phone (361) 643-8243

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1235170283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 CROSSTOWN EXPRESSWAY SH 286",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 CROSSTOWN EXPRESSWAY SH 286",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Texan Trl",
            "address_2": "Ste. 300",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784112549",
            "country_code": "US",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF CORPUS CHRISTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "BRECKENRIDGE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT OF OACC",
        "authorized_official_telephone_number": "361-854-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126369-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Bone and Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.