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DR. CHARLES W BREAUX JR. MD
NPI 1407844301
Surgery - Pediatric Surgery in Reno, NV

Active since October 13, 2005PECOS Enrolled
1155 MILL ST, RENO, NV 89502(775) 982-2125(775) 982-2170 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles W Breaux Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES W BREAUX JR. MD (NPI 1407844301) is an individual pediatric surgery provider in Reno, Nevada, licensed in Nevada (26701) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407844301
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. CHARLES W BREAUX JR.Credential: MD
Location Address1155 MILL STReno, NV 89502-1576
Mailing AddressPo Box 507Fruita, CO 81521-0507
Phone(775) 982-2125
Fax(775) 982-2170
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1407844301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in NV · 26701✔ Licensed in AL · 11154✔ Licensed in CO · 35211
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 11154 (AL), 35211 (CO), 26701 (NV)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 11154 (AL), 35211 (CO)
1155 MILL ST, Reno, NV 89502
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Other Identifiers 4

Medicaid01352111CO
OtherBRB1426CO · Bcbs Provider Number
Medicaid10025031NM
Medicaid250035791NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Molina Healthcare, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles W Breaux Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA RASSUCHINE
Emergency Medicine
1155 MILL ST
RENO, NV 89502
Washoe County (775) 324-4040
NICHOLAS ROSE MD
Radiology (Vascular & Interventional Radiology)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 327-5174
DR. BROOKE TAYLOR TOLLER PHARMD
Pharmacist (Ambulatory Care)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-4406
CORINNE E JOHNSON GARNER RN, APRN
Registered Nurse (Neonatal Intensive Care)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7890
DR. THOMAS S. DAVEE M.D.
Internal Medicine (Cardiovascular Disease)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7878
DR. CHRISTIE ELLIOTT MD
Pathology (Anatomic Pathology & Clinical Pathology)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-4545
LEAH KATHLEEN MACHEN M.D.
Hospitalist
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7878
HAMAD RASHID ASHRAF MD
Hospitalist
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Breaux's NPI number?

The NPI number for Charles Breaux is 1407844301. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Charles Breaux located?

Charles Breaux practices at 1155 Mill St, Reno, NV 89502. The listed phone number is (775) 982-2125.

What is Charles Breaux's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Charles Breaux enrolled in Medicare?

Yes. Charles Breaux is registered in the Medicare PECOS enrollment system.

What insurance does Charles Breaux accept?

Health plans from Avera Health Plans, Molina Healthcare and Oscar Health Plan, Inc. list Charles Breaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Breaux was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.