Active NPI
Charles William Breckenridge, M.D.
- Orthopaedic Surgery Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J8212
- Practice address
- 5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417 - Phone
- (361) 854-0811
- Fax
- (361) 806-5040
- NPI assigned
- Aug 13, 2006
- Last updated
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | J8212 | TX | |
| Orthopaedic Surgery Physician | 207X00000X | J8212 | TX | Primary |
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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1106783-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224
5917 Crosstown Epwy
SH 286
Corpus Christi, TX 78417-3504
Phone 3618541454113
601 Texan TRL
Suite 300
Corpus Christi, TX 78411-2549
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.43 of 100
- Quality
- 76.55
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 58.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8212 | TX | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of Corpus Christi | Orthopaedic Surgery | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Orthopedic Associates of Corpus Christi | Orthopaedic Surgery | Past | Accepting new patients |
Locations
5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454
5917 Crosstown Expy
Ste 286
Corpus Christi, TX 78417
601 Texan Trl
Ste 300
Corpus Christi, TX 78411
Phone (361) 887-2900
Interoperability endpoints
- charles.breckenridge.1@15288.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Texas Bone and Joint
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1235170283
-
dba Corpus Christi MRI Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Corpus Christi, TX
- NPI 1710090089
-
dba Shea Physical Therapy and Hand Therapy Services of Corpus Christi
- Rehabilitation Clinic/Center
- Corpus Christi, TX
- NPI 1427634245
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Durable Medical Equipment & Medical Supplies
- Corpus Christi, TX
- NPI 1366635351
Orthopaedic Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Spohn Hospital Kleberg
- General Acute Care Hospital
- Kingsville, TX
- NPI 1093783391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1366454662",
"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": [],
"basic": {
"last_name": "BRECKENRIDGE",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "J8212",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J8212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1106783-02",
"state": "TX"
}
],
"endpoints": [],
"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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.