DR. THOMAS K BREDEMAN D.O.
NPI 1477556520
Specialist in Jefferson City, MO

NPI Status: Active since May 23, 2005

Contact Information

3205 PEMBROKE SQ
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 690-5665

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  • Individual
  • Male
  • Specialist

About THOMAS BREDEMAN

This page provides the complete NPI Profile along with additional information for Thomas Bredeman, a provider established in Jefferson City, Missouri with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1477556520 assigned on May 2005. The practitioner's primary taxonomy code is 174400000X with license number 36582 (MO). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1477556520
Provider Name
DR. THOMAS K BREDEMAN D.O.
Gender
Male
Entity Type
Individual
Location Address
3205 PEMBROKE SQ JEFFERSON CITY, MO 65109
Location Phone
(573) 690-5665
Mailing Address
3205 PEMBROKE SQ JEFFERSON CITY, MO 65109
Mailing Phone
(573) 690-5665
Is Sole Proprietor?
No
Enumeration Date
05-23-2005
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
36582
License State
MO
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
246894406MEDICAID (05)MO 
32232OTHER (01)MOBNDD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477556520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471051254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 0 + 5 + 1 + 2 + 5 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1477556520 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477556520, enumerated as an "individual" on May 23, 2005.

The provider is located at 3205 PEMBROKE SQ JEFFERSON CITY, MO 65109 and the phone number is (573) 690-5665.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.