Active NPI
Randall J Bremner, M.D.
- Obstetrics & Gynecology Physician
- Decorah, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 26470
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 382-2911
- Fax
- (563) 387-3102
- NPI assigned
- Jun 8, 2006
- Last updated
- May 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 61454 | WI | |
| Obstetrics & Gynecology Physician | 207V00000X | 26470 | IA | Primary |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
901 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-2911
Other practice location 1
800 E Blackhawk Ave
Prairie Du Chien, WI 53821-1698
Phone (608) 326-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI, AL, WA, IL, IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.27 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26470 | IA | MD | Obstetrics & Gynecology Physician |
| 61454 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Allara Medical Group PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- randall.bremner@335000925634564.direct.elationemr.com
- randall.bremner@avera.sdhealthlink.net
Organizations & group practices 7
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
IA, IL, WA, WI
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
dba Charlotte Ann Russell Medical Center
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1003857657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911",
"fax_number": "563-387-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911",
"fax_number": "563-387-3102"
}
],
"practiceLocations": [
{
"address_1": "800 E Blackhawk Ave",
"address_purpose": "LOCATION",
"city": "Prairie Du Chien",
"state": "WI",
"postal_code": "538211698",
"country_code": "US",
"telephone_number": "608-326-0808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREMNER",
"first_name": "RANDALL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "61454",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "26470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.