Individual provider Active NPI

Deborah Smith Bredestege, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1871732289
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.091377 Issued in OH
Practice address
1 Wyoming St Berry Women's Center Labor & Delivery
Ste 4130
Dayton, OH 45409
Phone
(937) 438-4381
Fax
(937) 641-2524
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 31598 SC
Obstetrics & Gynecology Physician 207V00000X 35.091377 OH Primary

Addresses

Primary practice location

1 Wyoming St Berry Women's Center Labor & Delivery
Ste 4130
Dayton, OH 45409

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

104B Morgan Pl
Summerville, SC 29485-8106
Phone (843) 851-3800

Other practice location 2

104B Morgan Pl
Summerville, SC 29485-8106
Phone (843) 851-3800

Other practice location 3

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191015002794 OH Practitioner - Obstetrics/Gynecology 2668503715 Reassigns benefits to 2 organizations
I20210304002867 KY Practitioner - Obstetrics/Gynecology 2668503715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.091377OHMDObstetrics & Gynecology Physician
31598SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Ohio Corp Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Sep 30, 2019 Accepting new patients
Premier Health Specialists Inc Obstetrics & Gynecology CurrentSince Sep 30, 2019 Accepting new patients
Glass City OBGYN LLC Obstetrics & Gynecology Current Accepting new patients
Premier Health Specialists Inc Obstetrics & Gynecology Current Accepting new patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Feb 18, 2021 Accepting new patients
Hilton Head Regional OB/GYN Partners LLC Obstetrics & Gynecology Past Accepting new patients
Miami Valley Hospital Past Accepting new patients
Carolina Womens Care PA Obstetrics & Gynecology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Palmetto OB/GYN Physicians, PA Past Accepting new patients

Locations

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1 Wyoming St
Ste 4130
Dayton, OH 45409
Phone (937) 208-6810

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

3170 Kettering Blvd
#B3
Moraine, OH 45439

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20947/brand/1/csg/1/fhir/r4
  • Direct secure messaging: deborah.bredestege@cernerdirect.coxhealth.com
  • Direct secure messaging: dbredestege77234@direct.kdhealth.us

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1871732289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST BERRY WOMEN'S CENTER LABOR & DELIVERY",
            "address_2": "STE 4130",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-438-4381",
            "fax_number": "937-641-2524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104B Morgan Pl",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858106",
            "country_code": "US",
            "telephone_number": "843-851-3800",
            "fax_number": "843-851-7787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104B Morgan Pl",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858106",
            "country_code": "US",
            "telephone_number": "843-851-3800",
            "fax_number": "843-851-7787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Ewing St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303372",
            "country_code": "US",
            "telephone_number": "740-687-8000",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREDESTEGE",
        "first_name": "DEBORAH",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "31598",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.091377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.