JASON BREDENKAMP (M.D.) – Emergency Medicine Physician, NPI 1780601237

JASON BREDENKAMP (M.D.) is a healthcare provider. based in Rockford, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-100921 (IL). The NPI Number for JASON BREDENKAMP (M.D.) is 1780601237

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JASON BREDENKAMP (M.D.)
NPI
1780601237
Phone
(815) 971-3333
Address
2400 N ROCKTON AVE
Enumeration Date
17 July 2006
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2704172000
Graduation Year
1997 (29 years ago)
PAC ID
1951292168
Group Practice PAC ID
0648255034
Professional Enrollment ID
I20250212002315
Address ID
KY423039811OW1201XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness75
Years active:19State licenses:5Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for JASON BREDENKAMP (M.D.)

  • Mercyhealth Hospital–Rockton Avenue, 2400, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States

    ROCKFORD, IL 611033655

    Phone: (815) 971-3333

    Type: Mailing

  • 1201 Pleasant Valley Rd

    Owensboro, KY 423039811

    Phone: (270) 417-5911

    Type: Location

  • 1116 Millis Ave

    Boonville, IN 476012204

    Phone: (812) 897-7171

    Type: Location

  • 5553 AUTUMN RIDGE DR

    NEWBURGH, IN 476303286

    Phone: (815) 222-5643

    Type: Mailing

  • 3700 WASHINGTON AVE

    EVANSVILLE, IN 477140541

    Phone: (812) 485-4491

    Type: Location

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: 2025-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040406000549IEmergency MedicineILTBD
I20210217000480IEmergency MedicineINTBD
I20250212002315IEmergency MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making214208$0
99284Emergency department visit with moderate level of medical decision making8279$0
99291Critical care, first 30-74 minutes6462$0
View full utilization report →

Insurance plans in this area (ZIP 61103)

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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: 0648255034View full group profile

Reviews

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Frequently asked questions

What is JASON BREDENKAMP (M.D.)'s NPI number?
JASON BREDENKAMP (M.D.)'s NPI is 1780601237 — the number used across U.S. healthcare to identify this provider.
Is JASON BREDENKAMP (M.D.) still an active registrant?
JASON BREDENKAMP (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for JASON BREDENKAMP (M.D.)?
At a glance, JASON BREDENKAMP (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JASON BREDENKAMP (M.D.) associated with Rockford?
Public fields place JASON BREDENKAMP (M.D.) around Rockford, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JASON BREDENKAMP (M.D.) is noted as July 17, 2006 where the registry provides it.

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