Breaux Internal Medicine and Pediatric Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BREAUX INTERNAL MEDICINE AND PEDIATRIC CLINIC

Practice address

1722 Westwood St.
Lake Charles, LA 70601

Phone

(337) 491-7072

Fax

(337) 491-7076

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Adrienne Lynn Breaux, MDNPI 1518008341

Title

Physician

Phone

(337) 491-7072

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15703/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrienne Lynn Breaux, M.D.

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1518008341
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1457531881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 WESTWOOD ST.",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-491-7072",
            "fax_number": "337-491-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 WESTWOOD ST.",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-491-7072",
            "fax_number": "337-491-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAUX INTERNAL MEDICINE AND PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-491-7072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "0700011300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016284",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichole Braxton
• Patti Lynn Bray Ward, DC
• Nathan Herman Bray Jr., D.D.S.
• Nathan Paul Bray, LPC
• Charles J Brdlik, M.D.
• Adrienne Lynn Breaux, M.D.
• Jason Paul Breaux, C.R.N.A.
• Lisa Breaux, FNP
• Mallory Breaux
• Rachel Breaux

• Internal Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.