DR. CHARLES W JR. BREAUX (MD) – Pediatric Surgery Physician, NPI 1407844301
Pediatric Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHARLES W JR. BREAUX (MD)
Colorado West Audiologists, 2643, Patterson Road, Westwood Estates, Grand Junction, Mesa County, Colorado, 81506, United States
SUITE 603
GRAND JUNCTION, CO 815061936
Phone: (970) 298-7440
Fax: (970) 298-7459
Type: Mailing
PO BOX 507
FRUITA, CO 815210507
Phone:
Type: Mailing
1155 MILL ST
RENO, NV 895021576
Phone: (775) 982-2125
Fax: (775) 982-2170
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-16
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090831000403 | I | General Surgery | CO | TBD |
| I20220824000484 | I | Pediatric Medicine | AL | TBD |
| I20240423002081 | I | Pediatric Medicine | SD | TBD |
| I20250116002105 | I | General Surgery | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81506)
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