Breck Beckner

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

16633 Dallas Pkwy Ste 125
Addison, TX 75001-6816

Phone

(972) 380-0000

Fax

(972) 380-0030

NPI assigned

Dec 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ridgelea Neuromonitoring

  • Other Specialist/Technologist
  • Addison, TX
  • NPI 1437817541

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1275291379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703231",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753703231",
            "telephone_number": "682-717-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 125",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016816",
            "telephone_number": "972-380-0000",
            "fax_number": "972-380-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKNER",
        "first_name": "BRECK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bayne, M.A., CCC-SLP
• Morena Bazan Ortiz
• Anna Beard
• Karla Teresa Beard, ANP
• Melanie Jill Bebout, APRN
• Kevin Bedford, DPT
• Derrick Javier Belan, DPT
• Anna Cecelia Belou
• Marty Neal Bennett, MD
• Alexander Stephen Berk, JD, M.ED., LPC

• All providers in Addison, TX
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.