Bremer Prosthetic Design, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BREMER PROSTHETIC DESIGN, INC.

Practice address

G3487 S. Linden Rd. Ste. U
Flint, MI 48507-3020

Phone

(810) 733-3375

Fax

(810) 733-0117

NPI assigned

Aug 14, 2006

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nathan J Kapa, CPNPI 1548791395

Title

President/Owner

Phone

(810) 733-3375

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Kapa, C.P.

  • Prosthetist
  • Flint, MI
  • NPI 1548791395
  NPD Authorized official
• Abbey J Senczyszyn, CPO, MBA, MPO

  • Prosthetist
  • Flint, MI
  • NPI 1376254540
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1053324673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3487 S. LINDEN RD. STE. U",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073020",
            "telephone_number": "810-733-3375",
            "fax_number": "810-733-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3487 S. LINDEN RD. STE. U",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073020",
            "telephone_number": "810-733-3375",
            "fax_number": "810-733-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMER PROSTHETIC DESIGN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "KAPA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "810-733-3375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2973794",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherese Patrelle Bransford
• Richard Bratly
• Emily Jo Breeden, LMSW
• Kristina Breidenstein, LPC
• Christopher Allen Breier, LPC
• Brenda Rogers Grays DO PC
• Chrisciajean Brett, PRC
• Catherine Ann Brewer, LPC
• Dezyre Brewer
• Jordan Denise Brewster

• Prosthetic/Orthotic Supplier in Flint, MI
• Providers in Flint, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.