Active NPI
Susan A Bredman, PA-C
- Physician Assistant
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000642
- Practice address
- 3421 W 9TH St Ste G4500
Waterloo, IA 50702-5401 - Phone
- (319) 272-8200
- Fax
- (319) 272-0400
- NPI assigned
- Jan 6, 2006
- Last updated
- May 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000642 | IA | Primary |
Addresses
Primary practice location
3421 W 9TH St Ste G4500
Waterloo, IA 50702-5401
Mailing address
3421 W 9TH St Ste G4500
Waterloo, IA 50702-5401
Phone (319) 272-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3421 W 9TH St
Waterloo, IA 50702-5401
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000642 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
751 Main St
Arlington, IA 50606
Phone (563) 633-6965
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
3421 W 9th St
Ste G4500
Waterloo, IA 50702
Phone (319) 233-8865
Interoperability endpoints
- sbredman148080@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MercyOne Medical Group Northeast Iowa
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
Physician Assistant
-
dba MercyOne Evansdale home medical equipment
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Waterloo Medical Center
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
dba MercyOne Cedar Falls Medical Center
- General Acute Care Hospital
- Cedar Falls, IA
- NPI 1942241955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1437137692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 W 9TH ST STE G4500",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-8200",
"fax_number": "319-272-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 W 9TH ST STE G4500",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-8200",
"fax_number": "319-272-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDMAN",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "000642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.