Bluebird Pediatrics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUEBIRD PEDIATRICS

Practice address

86 Sagebrush
Ponte Vedra, FL 32081

Phone

(904) 747-7097

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Bredt, APRN, FNP-CNPI 1881183440

Title

Owner/Nurse Practitioner

Phone

(904) 747-0797

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Bredt, ARNP-FNP

  • Family Nurse Practitioner
  • Ponte Vedra, FL
  • NPI 1881183440
  NPD Authorized official

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1982278784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKETSIDE AVE,",
            "address_2": "SUITE 404, #370",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810996",
            "telephone_number": "904-747-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 SAGEBRUSH",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "32081",
            "telephone_number": "904-747-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "BREDT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "904-747-0797",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Bertone, APRN
• Alonzo Carlos Blackmon, D.D.S, M.S.
• Blue Water Dental of St. Johns
• Blue Water Health and Wellness LLC
• Bluebird Medical & Wellness Corp
• Bluewater Wellness Center
• Jennifer Borgio, ATC
• William David Boyd, M.D.
• Melanie Loretta Bradley, DO
• Meredith Johnston Brazell, D.O.

• Family Medicine Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.