J Brederson, FNP
NPI 1790063162 · Family Nurse Practitioner · Port Byron, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
J Brederson, FNP is a Family Nurse Practitioner provider in Port Byron, NY (NPI 1790063162).
Provider details
- NPI number
- 1790063162
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 336768 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-02
- Last updated
- 2014-02-14
Frequently asked questions
- What is J Brederson's NPI number?
- J Brederson's National Provider Identifier (NPI) is 1790063162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is J Brederson's specialty?
- J Brederson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is J Brederson located?
- J Brederson's practice location on file with NPPES is 60 Main St, Port Byron, NY 13140-0359.
- What is J Brederson's phone number?
- The practice phone number listed in the NPPES registry for J Brederson is (315) 776-9700.
- Does J Brederson accept Medicare?
- J Brederson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is J Brederson's NPI active?
- Yes — J Brederson's NPI (1790063162) is active in the NPPES registry as of the last update on 2014-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.