Robert Joseph Breckenridge
Internist Sports Medicine Doctor Endocrinologist (Diabetes Doctor) Pain Medicine
401 E Oklahoma Ave
Enid
, Oklahoma 73701-5800
Robert Joseph Breckenridge
Internist Sports Medicine Doctor Endocrinologist (Diabetes Doctor) Pain Medicine
401 E Oklahoma Ave
Enid
, Oklahoma 73701-5800
(580) 350-6401
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About
Features
Specialties
- Sports Medicine Doctor
- Internist
- Endocrinologist (Diabetes Doctor)
- Pain Medicine
Languages spoken
- English
Location
First Address
- Robert Joseph Breckenridge
- 2111 N Van Buren St
- Enid, OK
- Zip : 73703-2524
- Fax : (580) 350-6401
- Phone : (580) 233-4300
Second Address
- Robert Joseph Breckenridge
- 401 E Oklahoma Ave
- Enid, OK
- Zip : 73701-5800
- Fax : (580) 350-6401
- Phone : (580) 233-4300
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | 1794 | OK |
| Y | 207R00000X | Internist | 1794 | OK |
| Y | 111NI0900X | Internist | 1794 | OK |
| N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 1794 | OK |
| N | 2081P2900X | Pain Medicine | 1794 | OK |
National Provider Identifier
| NPI | 1790747350 |
|---|---|
| Provider Name | Robert Joseph Breckenridge |
| First Address | Enid, OK 73703-2524 |
| Second Address | Enid, OK 73701-5800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2006 |
| Last Update Date | 29/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100257360D | (05) | OK |
| 110230825 | RR MEDICARE (01) | |
| 37D2190466 | CLIA (01) | OK |
| D97235 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.