Active NPI
Robert L Breckenridge, MD
- Medical Microbiology Physician
- North Kansas City, MO
National Provider Identifier
1619967718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Microbiology Physician
- License
- BRECR2
- Practice address
- 2750 Clay Edwards Dr
Suite 420
North Kansas City, MO 64116-3237 - Phone
- (816) 241-3338
- Fax
- (816) 936-8118
- NPI assigned
- Oct 28, 2005
- Last updated
- Jul 13, 2026
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | R6A73 | MO | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 0418569 | KS | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | MD12472 | HI | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | BRECR2 | NY | |
| Medical Microbiology Physician | 207ZM0300X | R6A73 | MO | |
| Medical Microbiology Physician | 207ZM0300X | 0418569 | KS | |
| Medical Microbiology Physician | 207ZM0300X | MD12472 | HI | |
| Medical Microbiology Physician | 207ZM0300X | BRECR2 | NY | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R6A73 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0418569 | KS | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD12472 | HI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | BRECR2 | NY |
Addresses
Primary practice location
2750 Clay Edwards Dr
Suite 420
North Kansas City, MO 64116-3237
Mailing address
2750 Clay Edwards Dr
Suite 420
North Kansas City, MO 64116-3237
Phone (816) 241-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12472 | HI | MD | Anatomic Pathology & Clinical Pathology Physician |
| BRECR2 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619967718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR",
"address_2": "SUITE 420",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163237",
"telephone_number": "816-241-3338",
"fax_number": "816-936-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR",
"address_2": "SUITE 420",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163237",
"telephone_number": "816-241-3338",
"fax_number": "816-936-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRECKENRIDGE",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "MO",
"license": "R6A73",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "KS",
"license": "0418569",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "HI",
"license": "MD12472",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "NY",
"license": "BRECR2",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "MO",
"license": "R6A73",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "KS",
"license": "0418569",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "HI",
"license": "MD12472",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "NY",
"license": "BRECR2",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "R6A73",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "0418569",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "HI",
"license": "MD12472",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "BRECR2",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.