Active NPI
Joseph C Bremer Jr., M.D.
- Emergency Medicine Physician
- Palos Heights, IL
National Provider Identifier
1013916626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- 12251 S 80TH Ave
Palos Heights, IL 60463-1256 - Phone
- (708) 923-5800
- Fax
- (708) 923-8324
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Primary |
Addresses
Primary practice location
12251 S 80TH Ave
Palos Heights, IL 60463-1256
Mailing address
9944 S Roberts Rd
Suite 204
Palos Hills, IL 60465-1555
Phone (708) 233-8709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palos Emergency Medical Services, LTD | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Palos Heights, IL
- NPI 1811997885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1013916626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9944 S ROBERTS RD",
"address_2": "SUITE 204",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651555",
"telephone_number": "708-233-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631256",
"telephone_number": "708-923-5800",
"fax_number": "708-923-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.