Individual provider Active NPI

Jason Bredenkamp, M.D.

  • Emergency Medicine Physician
  • Evansville, IN
National Provider Identifier
1780601237
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01085177A Issued in IN
Practice address
3700 Washington Ave
Evansville, IN 47714-0541
Phone
(812) 485-4491
NPI assigned
Jul 17, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-100921 IL
Emergency Medicine Physician 207P00000X 56319 KY
Emergency Medicine Physician 207P00000X 46528-20 WI
Emergency Medicine Physician 207P00000X 160629 FL
Emergency Medicine Physician 207P00000X 01085177A IN Primary

Addresses

Primary practice location

3700 Washington Ave
Evansville, IN 47714-0541

Mailing address

5553 Autumn Ridge Dr
Newburgh, IN 47630-3286
Phone (815) 222-5643

Other practice location 1

1116 Millis Ave
Boonville, IN 47601-2204
Phone (812) 897-7171

Other practice location 2

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040406000549 IL Practitioner - Emergency Medicine 1951292168 Reassigns benefits to 3 organizations
I20210217000480 IN Practitioner - Emergency Medicine 1951292168 Reassigns benefits to 2 organizations
I20250212002315 KY Practitioner - Emergency Medicine 1951292168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Southern Illinois University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160629FLMDEmergency Medicine Physician
036-100921ILMDEmergency Medicine Physician
56319KYMDEmergency Medicine Physician
46528-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jan 12, 2021 Accepting new patients
Rockford Health Physicians CurrentSince Jan 1, 2005 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Feb 11, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 25, 2023 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Feb 11, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 1, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 1, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Affinity Wound Care PLLC Emergency Medicine CurrentSince Oct 6, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 25, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Crossroads Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1215 Southtown Blvd
Ste 303
Owensboro, KY 42301
Phone (270) 570-9535

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Organizations & group practices 16

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.

View all 16

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1780601237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 AUTUMN RIDGE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303286",
            "telephone_number": "815-222-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 Millis Ave",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "IN",
            "postal_code": "476012204",
            "country_code": "US",
            "telephone_number": "812-897-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREDENKAMP",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-100921",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "56319",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "46528-20",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "160629",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01085177A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.