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BLUEBIRD PEDIATRICS
NPI 1982278784
Family Medicine in Ponte Vedra, FL

Active since May 17, 2021CLIA 10D2227187 · Waiver
86 SAGEBRUSH, PONTE VEDRA, FL 32081(904) 747-7097 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2021, May 17, 2021 (2 updates tracked since 2021).

About Bluebird Pediatrics NPPES

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

BLUEBIRD PEDIATRICS (NPI 1982278784) is a healthcare organization registered as a family medicine in Ponte Vedra, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Julie Bredt, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1982278784
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUEBIRD PEDIATRICS
Location Address86 SAGEBRUSHPonte Vedra, FL 32081
Mailing Address101 Marketside Ave,, Suite 404, #370Ponte Vedra, FL 32081-0996 · (904) 747-7097
Phone(904) 747-7097
Organization SubpartNo
Authorized OfficialJulie BredtOwner/nurse Practitioner · (904) 747-0797
Enumeration DateMay 17, 2021
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1982278784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
86 SAGEBRUSH, Ponte Vedra, FL 32081
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2227187

Bluebird Pediatrics · Ponte Vedra, FL
Active · expires Jun 8, 2027
CLIA Number10D2227187
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorJulie Bredt
Laboratory Phone(813) 326-0005
Laboratory LocationBluebird Pediatrics86 Sagebrush Trail, Ponte Vedra, FL 32081
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bluebird Pediatrics's NPI number?

The NPI number for Bluebird Pediatrics is 1982278784. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Bluebird Pediatrics located?

Bluebird Pediatrics is located at 86 Sagebrush, Ponte Vedra, FL 32081. The listed phone number is (904) 747-7097.

What is Bluebird Pediatrics's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bluebird Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2227187) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bluebird Pediatrics was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.