Individual provider Active NPI

Charles William Breckenridge, M.D.

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1366454662
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J8212 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1106783-02MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001315 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2163419136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1989
Medicare assignment
May accept Medicare assignment
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

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 100Reported as group
Quality
76.55
Promoting interoperability
96
Improvement activities
40
Cost
58.22

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
J8212TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Corpus Christi Orthopaedic Surgery CurrentSince Jun 21, 1995 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Orthopedic Associates of Corpus Christi Orthopaedic Surgery PastSince Jan 1, 1990 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.