Breck Sleep Lab, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BRECK SLEEP LAB, INC

Practice address

203 S Geneva St
Breckenridge, TX 76424-4701

Phone

(254) 559-2023

Fax

(254) 559-9770

NPI assigned

Jul 28, 2006

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jill L Kirk, CRTNPI 1053327478

Title

Administrator

Phone

(254) 559-2023

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill L Kirk, CRT

  • Certified Respiratory Therapist
  • Breckenridge, TX
  • NPI 1053327478
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1922012343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S GENEVA ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244701",
            "telephone_number": "254-559-2023",
            "fax_number": "254-559-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S GENEVA ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244701",
            "telephone_number": "254-559-2023",
            "fax_number": "254-559-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECK SLEEP LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-559-2023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PL7191",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortney Rachelle Berkley, FNP-C, PMHNP-BC
• Bez Diagnostics
• Ramsie Rai Bradford, PHARMD
• Breath E-Z Health Care
• Breck Home Care, Inc.
• Breckenridge Dental PLLC
• Breckenridge Family Clinic PA
• Breckenridge Isd
• Lisa Anne Brown, RN
• Shawnda Hennesay Camp, D.C.

• Sleep Disorder Diagnostic Clinic/Center in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.