Lawrence Richard Breitkreutz Jr., M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

J7916 Issued in TX

Practice address

1680 Antilley Rd
Ste. 260
Abilene, TX 79606-5267

Phone

(325) 691-5590

Fax

(325) 691-1231

NPI assigned

Aug 18, 2005

Last updated

Apr 12, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1417949116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST",
            "address_2": "STE. 401",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012948",
            "telephone_number": "325-670-4560",
            "fax_number": "325-670-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD",
            "address_2": "STE. 260",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065267",
            "telephone_number": "325-691-5590",
            "fax_number": "325-691-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITKREUTZ",
        "first_name": "LAWRENCE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J7916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0971400-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Wade Brandstetter, PHARM.D
• Sarah Monica Branstutter-Peckham
• Emily Braun
• Jennifer Marie Brenem, OTR
• Roger Brenem
• Richard Sterling Brennan III, LPC-A
• Gregory Brenner
• Hollande Brooke-Faye Brenner

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.