Active NPI
Deborah Smith Bredestege, M.D.
- Obstetrics & Gynecology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35.091377
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35.091377 | OH | MD | Obstetrics & Gynecology Physician |
| 31598 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Ohio Corp | Obstetrics & Gynecology | Current | Accepting new patients |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Obstetrics & Gynecology | Current | 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 | Current | 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
- https://api.platform.athenahealth.com/20947/brand/1/csg/1/fhir/r4
- deborah.bredestege@cernerdirect.coxhealth.com
- 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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Canton, OH
- NPI 1043596257
-
- Obstetrics & Gynecology Physician
- Ashland, KY
- NPI 1457644122
-
- Gynecology Physician
- Summerville, SC
- NPI 1962767756
-
dba River Valley Womens Health
- Obstetrics & Gynecology Physician
- Lancaster, OH
- NPI 1124649504
-
dba Premier OBGyn
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
dba Advanced Ankle and Foot Specialists
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- Obstetrics & Gynecology Physician
- Hilton Head, SC
- NPI 1902088115
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.