Organization Active NPI

Breaux Medical, PC

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1245123124
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BREAUX MEDICAL, PC
Practice address
5960 McAndrew Dr
Oakland, CA 94611-3135
Phone
(510) 384-2846
Fax
(510) 279-3584
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Dr. Barry Ellison Breaux Jr., MD, MBANPI 1356785356
Title
President/Ceo/Founder
Phone
(510) 384-2846

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5960 McAndrew Dr
Oakland, CA 94611-3135

Mailing address

5960 McAndrew Dr
Oakland, CA 94611-3135
Phone (510) 384-2846

Other names 1

  • Breaux Medical Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1245123124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 MCANDREW DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946113135",
            "telephone_number": "510-384-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 MCANDREW DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946113135",
            "telephone_number": "510-384-2846",
            "fax_number": "510-279-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAUX MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ELLISON",
        "authorized_official_title_or_position": "PRESIDENT/CEO/FOUNDER",
        "authorized_official_telephone_number": "510-384-2846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breaux Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.