Active NPI
Sandra G Brehmer, APRN, FNP
- Family Nurse Practitioner
- Summerville, SC
National Provider Identifier
1174544902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2117
- Practice address
- 709 Trolley Rd
Summerville, SC 29485-5203 - Phone
- (843) 764-0194
- Fax
- (843) 875-3149
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2117 | SC | Primary |
Addresses
Primary practice location
709 Trolley Rd
Summerville, SC 29485-5203
Mailing address
PO Box 2559
Goose Creek, SC 29445-2559
Phone (843) 764-0194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0810 | Medicaid | SC | |
| GP3659 | Other | SC | MEDICAID GROUP # |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2117 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopeclinic Walterboro | Past | Accepting new patients | |
| Liberty Doctors LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Walterboro, SC
- NPI 1912967290
-
- Internal Medicine Physician
- Moncks Corner, SC
- NPI 1144299470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1174544902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2559",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452559",
"telephone_number": "843-764-0194",
"fax_number": "843-875-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 TROLLEY RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855203",
"telephone_number": "843-764-0194",
"fax_number": "843-875-3149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREHMER",
"first_name": "SANDRA",
"middle_name": "G",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "2117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0810",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "GP3659",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.