Individual provider Active NPI

Marie C Bredy, APRN-C

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1881874832
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12998 Issued in TN
Practice address
2605 Enterprise Rd E Ste 100
Clearwater, FL 33759-1067
Phone
(727) 799-6255
Fax
(813) 635-7865
NPI assigned
Nov 7, 2007
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9495681 FL
Family Nurse Practitioner 363LF0000X 12998 TN Primary

Addresses

Primary practice location

2605 Enterprise Rd E Ste 100
Clearwater, FL 33759-1067

Mailing address

2605 Enterprise Rd E Ste 100
Clearwater, FL 33759-1067
Phone (727) 799-6255

Other practice location 1

2424 Enterprise Rd Ste C
Clearwater, FL 33763-1704
Phone (727) 799-6255

Other identifiers 2

IdentifierTypeStateIssuer
111262200MedicaidFL
1506333MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Marie.Bredy@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208002572 FL Practitioner - Nurse Practitioner 8729159553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

2605 Enterprise Rd E
Suite 100
Clearwater, FL 33759-1067
Phone (727) 796-4396

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12998TNMDGeneral Practice Dentistry
APRN9495681FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Nurse Practitioner Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Sep 9, 2020 Accepting new patients
The Bellevue Clinic, PC PastSince Sep 1, 2012 Accepting new patients

Locations

2424 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 799-6255

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2605 Enterprise Rd E
Ste 100
Clearwater, FL 33759
Phone (727) 796-4396

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

Interoperability endpoints

  • Direct secure messaging: marie.bredy@direct.mybaycare.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1881874832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 ENTERPRISE RD E STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591067",
            "telephone_number": "727-799-6255",
            "fax_number": "813-635-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 ENTERPRISE RD E STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591067",
            "telephone_number": "727-799-6255",
            "fax_number": "813-635-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 Enterprise Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337631704",
            "country_code": "US",
            "telephone_number": "727-799-6255",
            "fax_number": "813-635-7865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREDY",
        "first_name": "MARIE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9495681",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111262200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506333",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marie.Bredy@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew Street",
            "address_2": "East Bldg 2nd Floor",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.