Individual provider Active NPI

Jeffrey D Breckenridge, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1982672069
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01045525A Issued in IN
Practice address
5430 E Washington St
Indianapolis, IN 46219-6446
Phone
(317) 969-7935
Fax
(877) 550-2158
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01045525A IN Primary
Emergency Medicine Physician 207P00000X 01045525A IN

Addresses

Primary practice location

5430 E Washington St
Indianapolis, IN 46219-6446

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

925 S Nebraska St
Marion, IN 46953-1874
Phone (765) 664-7492

Other identifiers 5

IdentifierTypeStateIssuer
000000033416OtherMPLAN
000000382235OtherINANTHEM
104924162MedicaidMI
2619983MedicaidOH
200112530MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.breckenridge.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000844 IN Practitioner - Family PracticePractitioner - Emergency Medicine 8022098862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care in PC 25 clinicians

Practice addresses (Care Compare)

5430 E Washington St
Indianapolis, IN 46219-6446
Phone (317) 969-7935

Hospital & facility affiliations

  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045525AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care in PC Family Medicine CurrentSince Dec 15, 2025 Accepting new patients
Centerwell Senior Primary Care in PC Family Medicine CurrentSince Dec 15, 2025 Accepting new patients
Preferred Emergency Physicians Emergency Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
Centerwell Senior Primary Care in PC Family Medicine Past Accepting new patients
Emergency Medicine of Indiana Emergency Medicine Past Accepting new patients
Professional Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

5430 E Washington St
Indianapolis, IN 46219
Phone (317) 322-1840

305 New Albany Plz
New Albany, IN 47150
Phone (812) 668-8133

Interoperability endpoints

  • Direct secure messaging: jeffrey.breckenridge.1@29601.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1982672069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196446",
            "telephone_number": "317-969-7935",
            "fax_number": "877-550-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 S Nebraska St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469531874",
            "country_code": "US",
            "telephone_number": "765-664-7492",
            "fax_number": "765-664-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRECKENRIDGE",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01045525A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01045525A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN",
            "identifier": "000000033416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000382235",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104924162",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2619983",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200112530",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.breckenridge.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5430 E Washington St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462196446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.