MEDICARE: DR. FRITZ BRECKNER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	2023024808	MO
2	207P00000X	Emergency Medicine Physician	5101019144	MI
3	207P00000X	Emergency Medicine Physician	34.014916	OH

General Provider Information

NPI Number	:	1639465669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRITZ BRECKNER D.O.

Provider Business Mailing Address
First Line	:	660 S EUCLID AVE CB 8054
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	ST. LOUIS
State	:	MO
Zip	:	63110-2217
Country	:	US
Telephone Number	:	314-273-6247
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BARNES JEWISH HOSPITAL PLAZA
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	ST. LOUIS
State	:	MO
Zip	:	63110-2217
Country	:	US
Telephone Number	:	800-862-9980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2011
Last Update Date	:	12/10/2024

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