Individual provider Active NPI

Marjorie R Bredy, APRN

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1235404633
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP921366 Issued in FL
Practice address
1150 North 35TH Avenue
Suite 130
Hollywood, FL 33021
Phone
(954) 265-7700
Fax
(954) 276-0021
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP921366 FL Primary

Addresses

Primary practice location

1150 North 35TH Avenue
Suite 130
Hollywood, FL 33021

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

2122 W Cypress Creek Rd Ste 220
Ft Lauderdale, FL 33309-1868
Phone (954) 265-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbredy14051@MHSDIRECT.NET Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000508 FL Practitioner - Nurse Practitioner 4183888191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Suite 130
Hollywood, FL 33021-5424
Phone (954) 265-7700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
ARNP921366FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince Mar 19, 2012 Accepting new patients
South Broward Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince Mar 19, 2012 Accepting new patients

Locations

2122 W Cypress Creek Rd
Ste 220
Ft Lauderdale, FL 33309
Phone (954) 265-7700

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1150 N 35th Ave
Ste 130
Hollywood, FL 33021
Phone (954) 265-7700

2063 Biscayne Blvd
Ste 501
Miami, FL 33137
Phone (954) 265-7700

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: mbredy14051@mhsdirect.net

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.

Hospital & facility affiliations 1

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1235404633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NORTH 35TH AVENUE",
            "address_2": "SUITE 130",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-265-7700",
            "fax_number": "954-276-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 W Cypress Creek Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333091868",
            "country_code": "US",
            "telephone_number": "954-265-7700",
            "fax_number": "954-276-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREDY",
        "first_name": "MARJORIE",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP921366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbredy14051@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 North 35th Avenue",
            "address_2": "Suite 130",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.