Scott Christopher Bremer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009077-1 Issued in NY

Practice address

4116 Broadway
Astoria, NY 11103-3143

Phone

(718) 204-6645

Fax

(718) 204-2115

NPI assigned

May 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• JSB Wellness LLC

  • Chiropractor
  • Hackensack, NJ
  • NPI 1629821921
  Medicare reassignment NPD Authorized official
• Prime Sports Physical Therapy and Chiropractic LLC

  • Sports Physical Therapist
  • Paramus, NJ
  • NPI 1083409692
  NPD Authorized official

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124236203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST APT 2A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015019",
            "telephone_number": "201-342-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033143",
            "telephone_number": "718-204-6645",
            "fax_number": "718-204-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMER",
        "first_name": "SCOTT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009077-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "645767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bracetown Orthodontics, LLP
• Bracetown Orthodontics,LLP
• Brad S Hantverk DDS PC
• Matthew Braman, LCSW
• Joseph Brandt, LMSW
• Thaniya Sultana Bremer, RPA-C
• Bridan Medical Supply Services Inc.
• Bridgeview RX Inc.
• Bright Land Inc
• Bright Medical PC

• Chiropractor in Astoria, NY
• Providers in Astoria, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.