Individual
DR. JEFFREY D BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5430 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6446
(317) 969-7935
(877) 550-2158
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01045525A
IN
207Q00000X
Family Medicine Physician
Primary
01045525A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033416
MPLAN
—
01
—
000000382235
ANTHEM
IN
05
—
104924162
—
MI
05
—
200112530
—
IN
05
—
2619983
—
OH
Enumeration date
03/14/2006
Last updated
02/11/2026
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