Active NPI
Jeffrey D Breckenridge, MD
- Family Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01045525A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000033416 | Other | MPLAN | |
| 000000382235 | Other | IN | ANTHEM |
| 104924162 | Medicaid | MI | |
| 2619983 | Medicaid | OH | |
| 200112530 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040722000844 | IN | Practitioner - Family Practice | 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
Practice addresses (Care Compare)
5430 E Washington St
Indianapolis, IN 46219-6446
Phone (317) 969-7935
Hospital & facility affiliations
- Community Hospital East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01045525A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care in PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care in PC | Family Medicine | Current | 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
- 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.
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Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.