NPIMap

Individual provider Active NPI

Gregory F Bredemeier, MD

  • Emergency Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1700848207
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
09599 Issued in MS
Practice address
803 Canebreak Dr
Ocean Springs, MS 39564-6836
Phone
(228) 818-5998
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 09599 MS Primary
Family Medicine Physician 207Q00000X MS09599 MS

Addresses

Primary practice location

803 Canebreak Dr
Ocean Springs, MS 39564-6836

Mailing address

9344 Three Rivers Rd
Gulfport, MS 39503-4268
Phone (228) 865-9898

Other identifiers 1

IdentifierTypeStateIssuer
00116360OtherMSMISSISSIPPI MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000561 MS Practitioner - Emergency MedicinePractitioner - Internal Medicine 0749193167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians

Practice addresses (Care Compare)

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832

Hospital & facility affiliations

  • Crossgates River Oaks Hospital Hospital, Brandon, MS, CCN 250096
  • Merit Health River Region Hospital, Vicksburg, MS, CCN 250031
  • Merit Health Central Hospital, Jackson, MS, CCN 250072

Merit-based Incentive Payment System (MIPS)

Final score
42.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MS09599MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Feb 27, 2012 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Mar 17, 2018 Accepting new patients
Gulfport Emergency Physicians Emergency Medicine Past Accepting new patients
Garden Park Hospitalist Program LLC Past Accepting new patients
Keith Van Meter & Associates Past Accepting new patients
South Coast Pathology Services LTD Past Accepting new patients
Harrison Hma, Inc. Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

Organizations & group practices 8

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 3

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1700848207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-865-9898",
            "fax_number": "228-863-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 CANEBREAK DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395646836",
            "telephone_number": "228-818-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDEMEIER",
        "first_name": "GREGORY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "09599",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "MS09599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI MEDICAID",
            "identifier": "00116360",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.