BLAKE BREDESON DC
NPI 1932899150
Chiropractor in Manitowoc, WI

Active since May 10, 2023Accepts Medicare Assignment
210 E REED AVE, MANITOWOC, WI 54220(920) 682-1111 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, May 10, 2023 (2 updates tracked since 2023).

About Blake Bredeson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE BREDESON DC (NPI 1932899150) is an individual chiropractor in Manitowoc, Wisconsin, licensed in Wisconsin (6210-12) and active in the NPI registry since May 2023. He is a graduate of Northwestern College Of Chiropractic (2014).

NPPES Registry Identity

NPI1932899150
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBLAKE BREDESONCredential: DC
Location Address210 E REED AVEManitowoc, WI 54220-2121
Mailing Address210 E Reed AveManitowoc, WI 54220-2121 · (920) 682-1111
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2014
Enumeration DateMay 10, 2023
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1932899150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 6210-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
210 E REED AVE, Manitowoc, WI 54220

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Blake Bredeson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840738845
PECOS Enrollment IDI20240821000711

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
210 E REED AVE
MANITOWOC, WI 54220
Chiropractor
210 E REED AVE
MANITOWOC, WI 54220
Chiropractor
210 E REED AVE
MANITOWOC, WI 54220
Chiropractor
210 E REED AVE
MANITOWOC, WI 54220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Bredeson's NPI number?

The NPI number for Blake Bredeson is 1932899150. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Blake Bredeson located?

Blake Bredeson practices at 210 E Reed Ave, Manitowoc, WI 54220. The listed phone number is (920) 682-1111.

What is Blake Bredeson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Blake Bredeson enrolled in Medicare?

Yes. Blake Bredeson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Blake Bredeson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 3 other insurers list Blake Bredeson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Bredeson was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.