Individual provider Active NPI

Michael John Bredin, PA

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1992233910
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059138 Issued in PA
Practice address
540 N Duke St
Lancaster, PA 17602-2374
Phone
(717) 544-6111
Fax
(717) 544-2625
NPI assigned
Jun 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059138 PA Primary

Addresses

Primary practice location

540 N Duke St
Lancaster, PA 17602-2374

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171012000660 PA Practitioner - Physician Assistant 0345515680 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1655 Crooked Oak Dr
Lancaster, PA 17601-4207
Phone (717) 569-2678

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 627-7696

426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 393-1900

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

51 Peters Rd
Lititz, PA 17543-7685

950 S Octorara Trail
Parkesburg, PA 19365-2100

950 S Octorara TRL
Parkesburg, PA 19365-2100

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lanaster General Hospital CurrentSince Sep 25, 2017 Accepting new patients
Lancaster General Hospital CurrentSince Oct 1, 2021 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 11, 2018 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 11, 2018 Accepting new patients
Lancaster General Hospital CurrentSince Oct 1, 2021 Accepting new patients
Lancaster General Hospital CurrentSince Sep 25, 2017 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations (25 of 42)

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

418 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-1467

99 Masonic Dr
Ste 101
Elizabethtown, PA 17022
Phone (717) 396-9167

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

895 E Main St
Ephrata, PA 17522
Phone (717) 721-4585

1635 W Main St
Ste 700
Ephrata, PA 17522
Phone (717) 738-0660

5360 Lincoln Hwy
Ste 15
Gap, PA 17527
Phone (717) 442-8111

101 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 291-5991

554 N Duke St
Fl 2
Lancaster, PA 17602
Phone (717) 544-2273

555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

694 Good Dr
Ste 11
Lancaster, PA 17601
Phone (717) 544-0040

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

540 N Duke St
Lancaster, PA 17602
Phone (717) 544-4950

690 Good Dr
Fl 2
Lancaster, PA 17601
Phone (717) 544-0700

2113 Manor Ridge Dr
Lancaster, PA 17603
Phone (717) 299-4644

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1605 Lititz Pike
Lancaster, PA 17601
Phone (717) 290-7201

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3059

2108 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 291-5991

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

1701 Cornwall Rd
Ste 101
Lebanon, PA 17042
Phone (717) 544-9400

Interoperability endpoints

  • Direct secure messaging: mbredin171576@direct-lghealth.org

Organizations & group practices 12

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.

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": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1992233910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5945",
            "fax_number": "717-544-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-6111",
            "fax_number": "717-544-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDIN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-03",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.