DR. CHARLES W BREAUX MD NPI 1407844301

NPI Information

NPI: 1407844301
Provider Name: DR. CHARLES W BREAUX, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
2643 PATTERSON RD
SUITE 603
GRAND JUNCTION, CO
ZIP 81506
Phone: (970) 298-7440
Get Directions

DR. Charles W Breaux, MD is a pediatric surgery surgery in Grand Junction, CO. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Charles W Breaux, MD NPI is 1407844301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2643 PATTERSON RD
SUITE 603
GRAND JUNCTION, CO
ZIP 81506-936
Phone: (970) 298-7440
Fax: (970) 298-7459

The NPI 1407844301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 7/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		35211	COLORADO	No
2	208600000X	Surgery		11154	ALABAMA	No
3	2086S0102X	Surgery	Surgical Critical Care	35211	COLORADO	No
4	2086S0102X	Surgery	Surgical Critical Care	11154	ALABAMA	No
5	2086S0120X	Surgery	Pediatric Surgery	11154	ALABAMA	No
6	2086S0120X	Surgery	Pediatric Surgery	35211	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C322108	MEDICARE PIN	COLORADO
2	01352111	MEDICAID	COLORADO
3	10025031	MEDICAID	NEW MEXICO
4	100504625	MEDICAID	NEVADA
5	BRB1426	OTHER	COLORADO	BCBS PROVIDER NUMBER
6	E23474	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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