Individual provider Active NPI

Charles L Breeling, MD

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1346358413
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9232 Issued in TX
Practice address
3301 S Alameda St
Suite 201
Corpus Christi, TX 78411-1882
Phone
(361) 857-2900
Fax
(361) 857-8321
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F9232 TX Primary

Addresses

Primary practice location

3301 S Alameda St
Suite 201
Corpus Christi, TX 78411-1882

Mailing address

3301 S Alameda St
Suite 201
Corpus Christi, TX 78411-1882
Phone (361) 857-2900

Other identifiers 1

IdentifierTypeStateIssuer
138033904MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLES.BREELING@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F9232TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Family Medicine Center PA Family Medicine Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.breeling@415054778073092.direct.elationemr.com
  • Direct secure messaging: charles.breeling@hca9.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1346358413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "SUITE 201",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-857-2900",
            "fax_number": "361-857-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "SUITE 201",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-857-2900",
            "fax_number": "361-857-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREELING",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138033904",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLES.BREELING@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3301 S Alameda St",
            "address_2": "SUITE 201",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784111882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.