Robert Joseph Breckenridge, DO is a
Internal Medicine based in Enid, Oklahoma. Robert Joseph Breckenridge is licensed to practice in Oklahoma (license number 1794) and his current practice location is
401 E Oklahoma Ave, Enid, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 233-4300.
NPI number for Robert Joseph Breckenridge is 1790747350 and his current mailing address is 401 E Oklahoma Ave, Enid, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790747350.
Healthcare Provider's Profile
| Full Name | Robert Joseph Breckenridge |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 401 E Oklahoma Ave, Enid, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790747350
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 07/19/2022
Medical Identifiers
Medical identifiers for Robert Joseph Breckenridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790747350 | NPI | - | NPPES |
| 100257360D | Medicaid | OK | |
| 37D2190466 | Other | OK | CLIA |
| 110230825 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | 1794 (Oklahoma) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 1794 (Oklahoma) | Secondary |
| 207R00000X | Internal Medicine | 1794 (Oklahoma) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1794 (Oklahoma) | Secondary |
| 207RI0001X | Internal Medicine - Clinical & Laboratory Immunology | 1794 (Oklahoma) | Secondary |
| 207RI0001X | Internal Medicine - Clinical & Laboratory Immunology | 37D2190466 (Oklahoma) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 37D2190466 (Oklahoma) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 1794 (Oklahoma) | Secondary |
| 2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | 1794 (Oklahoma) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Joseph Breckenridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Robert Joseph Breckenridge, DO 401 E Oklahoma Ave, Enid, OK 73701-5800 Ph: (580) 233-4300 | Robert Joseph Breckenridge, DO 401 E Oklahoma Ave, Enid, OK 73701-5800 Ph: (580) 233-4300 |
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