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Physician Compare National (NPI:1619042298)

HEALTHCARE PROVIDER: YONEL BREDY JR. DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1619042298
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0446259436
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20061221000207
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BREDY
Individual professional last name
Provider First Name YONEL
Individual professional first name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 7951 RIVIERA BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 104
Group Practice or individual's line 2 address
City MIRAMAR
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 330236436
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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