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Contact Information

ROBERT J BRECKENRIDGE, DO
401 E OKLAHOMA AVE
ENID, OK73701-5800
 Phone: 580-233-4300
 Fax: 580-350-6401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Acupuncturist

171100000X
 

Clinical & Laboratory Immunology

207RI0001X 11 Physician/Internal Medicine
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ROBERT J BRECKENRIDGE · (Male)

NPI # 1790747350
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/06/2006
Last updated 07/19/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 1794
  • OK License # 37D2190466
  • OK Medicaid 100257360D
  • Other 110230825 RR MEDICARE
  • OK Other 37D2190466 CLIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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