Active NPI
Denise Lynne Bredow, R.N., C.F.N.P.
- Nurse Practitioner
- Bedford, TX
National Provider Identifier
1619915766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 557609
- Practice address
- 1615 Hospital Pkwy
Suite 103
Bedford, TX 76022-5934 - Phone
- (817) 684-5006
- Fax
- (817) 684-5042
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 557609 | TX | Primary |
Addresses
Primary practice location
1615 Hospital Pkwy
Suite 103
Bedford, TX 76022-5934
Mailing address
9003 Airport Fwy
Suite 300
North Richland Hills, TX 76180-7770
Phone (817) 514-5200
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)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Past | Accepting new patients |
Interoperability endpoints
- denise.bredow.1@19934.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
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- Arlington, TX
- NPI 1184131625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1619915766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9003 AIRPORT FWY",
"address_2": "SUITE 300",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761807770",
"telephone_number": "817-514-5200",
"fax_number": "817-514-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HOSPITAL PKWY",
"address_2": "SUITE 103",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760225934",
"telephone_number": "817-684-5006",
"fax_number": "817-684-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDOW",
"first_name": "DENISE",
"middle_name": "LYNNE",
"credential": "R.N., C.F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "557609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.