BRECKENRIDGE SURGERY CENTER LP
NPI 1962568725
Clinic/Center - Ambulatory Surgical in Richardson, TX

NPI Status: Active since December 28, 2006

Contact Information

3201 E PRESIDENT GEORGE BUSH HWY
SUITE 100
RICHARDSON, TX
ZIP 75082
Phone: (972) 470-5859
Fax: (972) 470-5861

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 45D1038626
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-22-2027

About BRECKENRIDGE SURGERY CENTER LP

This page provides the complete NPI Profile along with additional information for Breckenridge Surgery Center Lp, a provider established in Richardson, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962568725 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Miss Mamie Sue Clark (Or Director)

NPI
1962568725
Provider Name
BRECKENRIDGE SURGERY CENTER LP
Entity Type
Organization
Location Address
3201 E PRESIDENT GEORGE BUSH HWY SUITE 100 RICHARDSON, TX 75082
Location Phone
(972) 470-5859
Location Fax
(972) 470-5861
Mailing Address
3201 E PRESIDENT GEORGE BUSH HWY SUITE 100 RICHARDSON, TX 75082
Mailing Phone
(972) 470-5000
Mailing Fax
(972) 470-5861
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2006
Last Update Date
07-21-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS MAMIE SUE CLARK

Authorized Official Title
OR DIRECTOR
Authorized Official Phone
(972) 470-5859

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HHO67AOTHER (01)TXBLUECROSS BLUE SHEILD
ASC239OTHER (01)TXPTAN

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Placement of implant on separate day of breast reconstruction

This procedure involves placing an implant to recreate the natural shape of the chest, but not on the same day as the initial reconstruction surgery. It's a separate procedure performed once healing from the first surgery is complete.

This service was performed 16 times for 11 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 15 times for 12 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1038626
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 23, 2025
Certificate Expiration Date
March 22, 2027
Laboratory Director
CECELIA N. WILLIAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Breckenridge Surgery Center Lp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BRECKENRIDGE SURGERY CENTER LP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962568725, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 6 + 1 + 6 + 7 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962568725.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
3201 E PRESIDENT GEORGE BUSH HWY, SUITE 101
RICHARDSON, TX 75082
Physical Medicine & Rehabilitation (Pain Medicine)
3201 E PRESIDENT GEORGE BUSH HWY, SUITE 107
RICHARDSON, TX 75082
Nursing Facility/Intermediate Care Facility
3201 E PRESIDENT GEORGE BUSH HWY, SUITE 107
RICHARDSON, TX 75082
Specialist/Technologist, Other (Surgical Assistant)
3201 E PRESIDENT GEORGE BUSH HWY, SUITE 101
RICHARDSON, TX 75082
Obstetrics & Gynecology
3201 E PRESIDENT GEORGE BUSH HWY, SUITE 107
RICHARDSON, TX 75082
Podiatrist (Foot & Ankle Surgery)
3201 E PRESIDENT GEORGE BUSH HWY, SUITE 106
RICHARDSON, TX 75082
Nurse Practitioner (Family)
3201 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Occupational Therapist
3201 E PRESIDENT GEORGE BUSH HWY, 103
RICHARDSON, TX 75082
Podiatrist (Foot & Ankle Surgery)
3201 E PRESIDENT GEORGE BUSH HWY, 106
RICHARDSON, TX 75082
Podiatrist (Foot & Ankle Surgery)
3201 E PRESIDENT GEORGE BUSH HWY, SUITE 106
RICHARDSON, TX 75082
Podiatrist (Foot & Ankle Surgery)
3201 E PRESIDENT GEORGE BUSH HWY, 106
RICHARDSON, TX 75082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962568725, enumerated as an "organization" on December 28, 2006.

The provider is located at 3201 E PRESIDENT GEORGE BUSH HWY SUITE 100 RICHARDSON, TX 75082 and the phone number is (972) 470-5859.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas,. Please consult your insurance carrier or call the provider to verify.