Active NPI
Shelli G Bregman, DO
- Anatomic Pathology & Clinical Pathology Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 244704
- Practice address
- 1380 E Medical Center Dr
Saint George, UT 84790-2123 - Phone
- (435) 251-1000
- NPI assigned
- Jun 12, 2006
- Last updated
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | PENDING | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | PENDING | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 244704 | NY | Primary |
Addresses
Primary practice location
1380 E Medical Center Dr
Saint George, UT 84790-2123
Mailing address
4567 Crossroads Park Drive
Liverpool, NY 13088-3589
Phone (315) 295-2100
Other practice location 1
736 Irving Ave
9th Floor, Crouse Hospital
Syracuse, NY 13210-1687
Phone (315) 470-7396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | PA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Experts Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Services PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Services PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Cytology Associates of Cny PLLC | Cytopathology | Current | Accepting new patients |
| Osmond Pathology PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
300 W Clarendon Ave
Ste 350
Phoenix, AZ 85013
Phone (435) 251-2208
520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542
1919 S Highland Ave
Bldg A
Lombard, IL 60148
1919 S Highland Ave
Ste 210
Lombard, IL 60148
1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270
736 Irving Ave
Fl 9
Syracuse, NY 13210
Phone (315) 470-7396
5700 Southwyck Blvd
Toledo, OH 43614
1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229
497 W 4800 S
Ste 201
Murray, UT 84123
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- St George, UT
- NPI 1699402214
-
- Anatomic Pathology & Clinical Pathology Physician
- Cedar City, UT
- NPI 1992777601
-
dba Nevada Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Mesquite, NV
- NPI 1437913464
-
- Clinical Medical Laboratory
- St George, UT
- NPI 1255971198
Anatomic Pathology & Clinical Pathology
-
- Cytopathology Physician
- Syracuse, NY
- NPI 1629231204
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Intermountain Health Cedar City Hospital
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1184666307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4567 CROSSROADS PARK DRIVE",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883589",
"telephone_number": "315-295-2100",
"fax_number": "315-295-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 E MEDICAL CENTER DR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847902123",
"telephone_number": "435-251-1000"
}
],
"practiceLocations": [
{
"address_1": "736 Irving Ave",
"address_2": "9th Floor, Crouse Hospital",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101687",
"country_code": "US",
"telephone_number": "315-470-7396",
"fax_number": "315-470-2806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREGMAN",
"first_name": "SHELLI",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "PA",
"license": "PENDING",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "PENDING",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "244704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.