Individual provider Active NPI

James Kent Bredenkamp, MD

  • Specialist
  • Mission Viejo, CA
National Provider Identifier
1023047586
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G58370 Issued in CA
Practice address
26726 Crown Valley Pkwy
#200
Mission Viejo, CA 92691-6364
Phone
(949) 364-4361
Fax
(949) 364-4495
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G58370 CA Primary

Addresses

Primary practice location

26726 Crown Valley Pkwy
#200
Mission Viejo, CA 92691-6364

Mailing address

26726 Crown Valley Pkwy
#200
Mission Viejo, CA 92691-6364
Phone (949) 364-4361

Other identifiers 1

IdentifierTypeStateIssuer
00G5837003MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000711 CA Practitioner - Otolaryngology 3173574142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, San Francisco School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Associates of Orange County an IncorprateGroup PAC ID 0547211518, 16 clinicians

Practice addresses (Care Compare)

26726 Crown Valley Pkwy
Suite 200
Mission Viejo, CA 92691-8003
Phone (949) 364-4361

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G58370CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Ambulatory Surgicenter LTD. Current Accepting new patients
Head and Neck Associates of Orange County an Incorprate Specialist CurrentSince Jul 1, 1990 Accepting new patients
Orange County Physicians Hearing Services Inc PastSince Jan 1, 2002 Accepting new patients

Locations

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

24411 Health Center Dr
Ste 370
Laguna Hills, CA 92653
Phone (949) 276-4008

26726 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691
Phone (949) 264-4361

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: james.bredenkamp.p19@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1023047586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDENKAMP",
        "first_name": "JAMES",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G58370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G5837003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.