Provider Demographics
NPI:1184878514
Name:BRECHEEN, BRIDGET LYNN (OPA-C RT(R)(M)(CT))
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:LYNN
Last Name:BRECHEEN
Suffix:
Gender:F
Credentials:OPA-C RT(R)(M)(CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4168
Mailing Address - Country:US
Mailing Address - Phone:806-463-7224
Mailing Address - Fax:806-463-2171
Practice Address - Street 1:8 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4168
Practice Address - Country:US
Practice Address - Phone:806-463-7224
Practice Address - Fax:806-463-2171
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314247247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist