Mary Breckur, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014076 Issued in PA

Practice address

2315 Myrtle St
Suite 220
Erie, PA 16502-4602

Phone

(814) 454-8185

Fax

(814) 454-3894

NPI assigned

Sep 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Francis H. Tseng MD

  • Obstetrics & Gynecology Physician
  • Erie, PA
  • NPI 1184669228
  NPD (past)
• OB-GYN Associates of Erie, PC

  • Obstetrics & Gynecology Physician
  • Erie, PA
  • NPI 1497702294
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1922400191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST",
            "address_2": "SUITE 220",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024602",
            "telephone_number": "814-454-8185",
            "fax_number": "814-454-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST",
            "address_2": "SUITE 220",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024602",
            "telephone_number": "814-454-8185",
            "fax_number": "814-454-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKUR",
        "first_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Joy Bratt, PTA
• Mark A Bratt, L.S.W.
• Michelle Leigh Braun, LPC
• Bread and Roses Counseling LLC
• Joel Edward Brecht, LPC, CRCC
• Christopher Owen Breeding, DO
• Brittany Jo Brennan, CRS
• Thomas M. Brennan, DO
• Erin Brenner, MS, LAT, ATC
• Brent E. Walker, M.D.,P.C.

• All providers in Erie, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.