Individual provider Active NPI

Bridgette Redick, NP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1003427154
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24186 Issued in SC
Practice address
460 Clemson Rd
Columbia, SC 29229-7925
Phone
(803) 438-8300
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 219728 SC
Family Nurse Practitioner 363LF0000X 24186 SC Primary

Addresses

Primary practice location

460 Clemson Rd
Columbia, SC 29229-7925

Mailing address

460 Clemson Rd
Columbia, SC 29229-7925

Other practice location 1

1301 Taylor St Ste 5K
Columbia, SC 29201-2952
Phone (803) 438-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623000596 SC Practitioner - Nurse Practitioner 7214400191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 Postal Rd
Cleveland, OH 44181-2184

5801 Postal Rd
Cleveland, OH 44181-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
219728SCMDRegistered Nurse
24186SCMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bredick383797@direct.ghs.myhfn.org
  • Direct secure messaging: bredick523497@direct.musc.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1003427154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297925",
            "telephone_number": "803-438-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Taylor St Ste 5K",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012952",
            "country_code": "US",
            "telephone_number": "803-438-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDICK",
        "first_name": "BRIDGETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "219728",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.