Jeremy J. Bramwell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

006689 Issued in AZ

Practice address

523 Rose LN
Wickenburg, AZ 85390

Phone

(928) 668-1845

Fax

(928) 684-7457

NPI assigned

Jun 11, 2012

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Doc Arizona PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1700477627
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1003178666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901448",
            "telephone_number": "928-668-1845",
            "fax_number": "928-684-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "85390",
            "telephone_number": "928-668-1845",
            "fax_number": "928-684-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMWELL",
        "first_name": "JEREMY",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Bastin, LAAC
• Diane Grace Bejerano, D.O.
• Darrell Allan Benham
• Robert Botbyl
• Bradshaw Mountain Diagnostic Laboratory Inc
• Breedlove Wound Care of Arizona LLC
• Diane R Breneman, LPC
• Rita Marie Butler, MC, LPC, LISAC
• Mikaila Renae Caraveo Ruiz, PTA
• Syreeta Shawnta Carter, FNP

• Family Medicine Physician in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.