MEDICARE: SCOTT W BREEZE MD

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	207X00000X	Orthopaedic Surgery Physician	J3284	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200024146	OTHER	TX	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	J3284	OTHER	TX	STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3354546	OTHER	TX	BLUE LINK
5	P01084626	OTHER	TX	RAILROAD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	5789173	OTHER	TX	AETNA PPO
10	0855346	OTHER	TX	AETNA HMO
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	80310B	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1881690345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT W BREEZE MD

Provider Business Mailing Address
First Line	:	4911 SANDHILL DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5320
Country	:	US
Telephone Number	:	281-238-7870
Fax Number	:

Provider Business Practice Location Address
First Line	:	22001 SOUTHWEST FWY STE 300
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7001
Country	:	US
Telephone Number	:	281-633-4940
Fax Number	:	281-633-4943

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	02/27/2020

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Directions to “ SCOTT W BREEZE MD” Practice Location

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