BRYCE XAVIER BREDELL (MD) – Emergency Medicine Physician, NPI 1205332483

BRYCE XAVIER BREDELL (MD) is a healthcare provider. based in Grosse pointe park, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301504086 (MI). The NPI Number for BRYCE XAVIER BREDELL (MD) is 1205332483

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
BRYCE XAVIER BREDELL (MD)
NPI
1205332483
Phone
(734) 645-4000
Address
943 NOTTINGHAM RD
Enumeration Date
5 April 2018
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4123831370
Graduation Year
2018 (8 years ago)
PAC ID
9739437757
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20220718003921
Address ID
PA152132546PI200XXSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for BRYCE XAVIER BREDELL (MD)

  • 943, Nottingham Road, Grosse Pointe Park, Wayne County, Michigan, 48230, United States

    GROSSE POINTE PARK, MI 482301733

    Phone: (734) 645-4000

    Type: Mailing

  • East Outer Drive, Detroit, Wayne County, Michigan, 48234, United States

    DETROIT, MI 48234

    Phone: (313) 966-1020

    Fax: (313) 966-1024

    Type: Location

  • 300 HALKET ST

    PITTSBURGH, PA 152133108

    Phone: (734) 645-0000

    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: 2022-07-18

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
I20220718003921IEmergency MedicinePATBD

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 making9391$0
99284Emergency department visit with moderate level of medical decision making4343$0
93308Ultrasound of heart, follow-up1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1111$0
View full utilization report →

Insurance plans in this area (ZIP 48230)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

Does BRYCE XAVIER BREDELL (MD) have a public NPI I can cite?
Public records show BRYCE XAVIER BREDELL (MD) under NPI 1205332483.
Is BRYCE XAVIER BREDELL (MD)'s NPI status active today?
Active status means BRYCE XAVIER BREDELL (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits BRYCE XAVIER BREDELL (MD)?
NPPES ties BRYCE XAVIER BREDELL (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRYCE XAVIER BREDELL (MD)?
BRYCE XAVIER BREDELL (MD) is associated with Grosse Pointe Park, Michigan in the same public data insurers reference.
Who maintains BRYCE XAVIER BREDELL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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