Individual provider Active NPI

Danielle Clarice Bremer, CNM

  • Advanced Practice Midwife
  • Bay City, MI
National Provider Identifier
1164997235
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704310782 Issued in MI
Practice address
3175 Professional CT
Bay City, MI 48706-2823
Phone
(989) 667-3377
Fax
(989) 667-9991
NPI assigned
Oct 4, 2018
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704310782 MI
Advanced Practice Midwife 367A00000X 4704310782 MI Primary

Addresses

Primary practice location

3175 Professional CT
Bay City, MI 48706-2823

Mailing address

3175 Professional CT
Bay City, MI 48706-2823
Phone (989) 667-3377

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danielle.bremer@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106002592 MI Practitioner - Nurse Practitioner 0345594552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

3175 Professional CT
Bay City, MI 48706-2823
Phone (989) 667-3377

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Dec 3, 2018 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Dec 3, 2018 Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

876 N Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 623-0137

3175 Professional Ct
Bay City, MI 48706
Phone (989) 667-3377

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

1015 Commerce Dr
Vassar, MI 48768
Phone (989) 823-3010

Interoperability endpoints

  • Direct secure messaging: danielle.bremer@direct.medfusion.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1164997235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 PROFESSIONAL CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062823",
            "telephone_number": "989-667-3377",
            "fax_number": "989-667-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 PROFESSIONAL CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062823",
            "telephone_number": "989-667-3377",
            "fax_number": "989-667-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMER",
        "first_name": "DANIELLE",
        "middle_name": "CLARICE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704310782",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704310782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle.bremer@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "876 N Van Dyke Rd",
            "city": "Bad Axe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484139016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.