Active NPI
Raymond Curtis Bredfeldt, MD
- Family Medicine Physician
- Fayetteville, AR
National Provider Identifier
1194740050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N7636
- Practice address
- 516 E Millsap Rd
Suite 103
Fayetteville, AR 72703-4096 - Phone
- (479) 527-2310
- Fax
- (479) 527-2323
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N7636 | AR | Primary |
Addresses
Primary practice location
516 E Millsap Rd
Suite 103
Fayetteville, AR 72703-4096
Mailing address
516 E Millsap Rd
Suite 103
Fayetteville, AR 72703-4096
Phone (479) 527-2310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N7636 | Other | AR | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7636 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194740050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 E MILLSAP RD",
"address_2": "SUITE 103",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034096",
"telephone_number": "479-527-2310",
"fax_number": "479-527-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 E MILLSAP RD",
"address_2": "SUITE 103",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034096",
"telephone_number": "479-527-2310",
"fax_number": "479-527-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDFELDT",
"first_name": "RAYMOND",
"middle_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "N7636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "N7636",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.