ALYSHA LYNN BREDEMUS (MD) – Internal Medicine Physician, NPI 1104187194

ALYSHA LYNN BREDEMUS (MD) is a healthcare provider. based in Pensacola, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2017028755 (MO). The NPI Number for ALYSHA LYNN BREDEMUS (MD) is 1104187194

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
ALYSHA LYNN BREDEMUS (MD)
NPI
1104187194
Phone
(850) 494-4177
Address
8383 N DAVIS HWY
Enumeration Date
6 June 2012
Last Update Date
23 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504161600
Graduation Year
2012 (14 years ago)
PAC ID
6103134663
Group Practice PAC ID
7517202112
Professional Enrollment ID
I20151001003148
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for ALYSHA LYNN BREDEMUS (MD)

  • 8383 N DAVIS HWY

    PENSACOLA, FL 325146039

    Phone: (850) 494-4177

    Type: Location

  • 1100 FORT PICKENS RD APT A20

    PENSACOLA BEACH, FL 325613948

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151001003148IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8281$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 32514)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517202112View full group profile
NameSpecialtyState
Internal MedicineFL
-TN
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
-FL
Family PracticeFL
Family PracticeFL
Internal Medicine, Infectious DiseaseTX

Reviews

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Frequently asked questions

How do I look up ALYSHA LYNN BREDEMUS (MD) by NPI?
Use NPI 1104187194 when you need to reference ALYSHA LYNN BREDEMUS (MD) in forms, claims, or directories.
Is ALYSHA LYNN BREDEMUS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ALYSHA LYNN BREDEMUS (MD)?
The page reflects Internal Medicine Physician for ALYSHA LYNN BREDEMUS (MD). Clinical services aligned with this taxonomy classification.
Does ALYSHA LYNN BREDEMUS (MD) practice in Florida?
You will see Pensacola, Florida on file for ALYSHA LYNN BREDEMUS (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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