Susan A Bredman, PA-C
Individual provider Active NPI Physician Assistant · Waterloo, IA
NPI 1437137692 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1437137692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 000642 (IA)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Mercyone Waterloo Medical Center
- Sartori Memorial Hospital, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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. | Current |
Accepting new patients | |
| Covenant Medical Center Inc | Physician Assistant | 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
Ste G4500
Waterloo, IA 50702
Phone (319) 233-8865
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Interoperability endpoints
- sbredman148080@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000642 | IA | Yes |
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
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.