CHARLES W. BREAUX, JR. MD – NPI #1407844301
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

CHARLES BREAUX, JR. is a surgeon located in RENO, NV. NPPES has assigned the NPI number 1407844301 to CHARLES BREAUX, JR. on October 13, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was last updated on Jan 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES BREAUX, JR. below.

NPI Profile for
CHARLES W. BREAUX, JR.

NPI Number
1407844301
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES W. BREAUX, JR.
Credentials
MD
Primary location
1155 MILL ST
RENO, NV 89502-1576
Phone: (775) 982-2125 Fax: (775) 982-2170
Mailing address
PO BOX 507
FRUITA, CO 81521-0507
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHARLES BREAUX, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS PROVIDER NUMBERCOBRB1426
medicaidCO01352111
medicaidNM10025031
medicaidNV250035791
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0120X
- Surgery / Pediatric Surgery (Primary)
NV 26701
2086S0102X
- Surgery / Surgical Critical Care
CO 35211
208600000X
- Surgery
AL 11154

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.