Individual provider Active NPI

Fritz Breckner, D.O.

  • Emergency Medicine Physician
  • St. Louis, MO
National Provider Identifier
1639465669
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.014916 Issued in OH
Practice address
1 Barnes Jewish Hospital Plaza
Dept of Anesthesiology
St. Louis, MO 63110-2217
Phone
(800) 862-9980
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2023024808 MO
Emergency Medicine Physician 207P00000X 5101019144 MI
Emergency Medicine Physician 207P00000X 34.014916 OH Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital Plaza
Dept of Anesthesiology
St. Louis, MO 63110-2217

Mailing address

660 S Euclid Ave CB 8054
Dept of Anesthesiology
St. Louis, MO 63110-2217
Phone (314) 273-6247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130409000068 MI Practitioner - Emergency Medicine 9931345329 Reassigns benefits to 8 organizations
I20211210001609 IN Practitioner - Emergency Medicine 9931345329 Reassigns benefits to 1 organization
I20241231003150 OH Practitioner - Emergency Medicine 9931345329 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Pain Services, PLLGroup PAC ID 8921912189, 19 clinicians

Practice addresses (Care Compare)

1090 W S Boundary St
Suite 600
Perrysburg, OH 43551-5249
Phone (419) 843-1369

730 N Macomb St
Monroe, MI 48162-2900
Phone (419) 843-1370

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2023024808MOMDAnesthesiology Physician
37716SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Pain Services, PLL CurrentSince Nov 1, 2024 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 1, 2022 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Sep 13, 2023 Accepting new patients
Sparrow Carson Hospital Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 1, 2025 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Sparrow Clinton Hospital Emergency Medicine Current Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Hillsdale Emergency Physicians, P.C. Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Sparrow Carson Hospital CurrentSince Aug 1, 2022 Accepting new patients
McLaren Hospital Group Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 1, 2025 Accepting new patients
McLaren Medical Group CurrentSince Sep 13, 2023 Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 1, 2022 Accepting new patients
Toledo Pain Services, PLL CurrentSince Nov 1, 2024 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Mar 13, 2017 Accepting new patients
Interventional Pain Consultants, LLC PastSince Feb 20, 2009 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

7575 Secor Rd
Lambertville, MI 48144
Phone (734) 568-6666

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

730 N Macomb St
Monroe, MI 48162
Phone (734) 240-1760

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

307 S Evergreen Ave
Ste 400
Woodbury, NJ 08096

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

846 S Coy Rd
Ste 100
Oregon, OH 43616

846 S Coy Rd
Oregon, OH 43616
Phone (419) 693-9459

1090 W South Boundary St
Ste 600
Perrysburg, OH 43551
Phone (419) 873-8280

7053 W Central Ave
Toledo, OH 43617
Phone 4198431370145

3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500

5151 Monroe St
Ste 104
Toledo, OH 43623

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Interoperability endpoints

  • Direct secure messaging: fritz.breckner.1@24274.direct.athenahealth.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

Hospital & facility affiliations 3

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1639465669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE CB 8054",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631102217",
            "telephone_number": "314-273-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLAZA",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631102217",
            "telephone_number": "800-862-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKNER",
        "first_name": "FRITZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2023024808",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101019144",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.014916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.