Individual provider Active NPI

Alysha Lynn Bredemus, MD

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1104187194
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME124902 Issued in FL
Practice address
8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone
(850) 494-4177
NPI assigned
Jun 6, 2012
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME124902 FL Primary
Hospitalist Physician 208M00000X 2017028755 MO

Addresses

Primary practice location

8383 N Davis Hwy
Pensacola, FL 32514-6039

Mailing address

1100 Fort Pickens Rd Apt A20
Pensacola Beach, FL 32561-3948

Other names 1

  • Alysha Lynn Bredemus-Barthel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151001003148 FL Practitioner - Internal Medicine 6103134663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124902FLMDInternal Medicine Physician
2017028755MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Hospitalist Physicians, LLC Hospitalist Current Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist CurrentSince Sep 15, 2022 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1104187194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FORT PICKENS RD APT A20",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "325613948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146039",
            "telephone_number": "850-494-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDEMUS",
        "first_name": "ALYSHA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124902",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2017028755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSHA",
            "last_name": "BREDEMUS-BARTHEL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.