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Dr. Blake Bredeson , DC

Chiropractor β€’ Manitowoc, WI

Active NPI 1932899150 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

210 E Reed Ave
Manitowoc, WI 542202121

Call 9206821111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

210 E Reed Ave

Manitowoc, WI 542202121

Telephone 9206821111
Organization at the Same NPPES Address or Phone
Linzmeier Chiropractic S C Facility NPI 1356644033

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Maritime Chiropractic Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Northwestern College Of Chiropractic

Graduation Year

2014

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bredeson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Manitowoc and Wisconsin

17 active clinicians are listed under Chiropractor with a practice address in Manitowoc, WI (2,550 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Manitowoc

0% of these 17 clinicians have the CMS telehealth indicator.

52.9% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-14
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES WI 6210-12

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20240821000711

Enrollment State Jurisdiction

WI

PECOS Control ID

0840738845

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Maritime Chiropractic Llc

210 E Reed Ave, Manitowoc, WI 542202121

Phone: 9206821111

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1093863326

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 14, 2024

Registered at 210 E REED AVE, MANITOWOC, WI 542202121 (Tel: 9206821111)

πŸ“
Updated Business Mailing Address August 14, 2024

Registered at 210 E REED AVE, MANITOWOC, WI 542202121 (Tel: 9206821111)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Chiropractor (license number reported to NPPES: WI 6210-12)

βœ…
NPI Profile Active May 10, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2023

Registered at 19112 FREEPORT ST NW STE E117, ELK RIVER, MN 553301267 (Tel: 7632212654)

πŸ“
Business Mailing Address (Initial Record) May 10, 2023

Registered at 28425 133RD ST NW, ZIMMERMAN, MN 553989229 (Tel: 7632212654)

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2023

Recorded as BLAKE BREDESON, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Chiropractor (license number reported to NPPES: MN 6041)

🟒
Initial NPI Registration & Enumeration May 10, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932899150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2023
Last Update: August 14, 2024
Sole Proprietor: Yes

Other Chiropractors in Manitowoc

All Chiropractors in Manitowoc

Mailing Address

210 E Reed Ave

Manitowoc, WI 542202121

Phone: 9206821111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.