Individual provider Active NPI

Robert Nettleship Brems, MD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1205926623
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20722 Issued in AZ
Practice address
300 E Osborn Rd
100
Phoenix, AZ 85012
Phone
(602) 200-0770
Fax
(602) 294-0363
NPI assigned
Oct 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20722 AZ Primary

Addresses

Primary practice location

300 E Osborn Rd
100
Phoenix, AZ 85012

Mailing address

300 E Osborn Rd
100
Phoenix, AZ 85012
Phone (602) 200-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315001079 AZ Practitioner - Ophthalmology 6406898063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Ophthalmologists LTDGroup PAC ID 8325024805, 17 clinicians

Practice addresses (Care Compare)

300 E Osborn Rd
Suite 100
Phoenix, AZ 85012-2347
Phone (602) 254-7255

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery469
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Ophthalmologists LTD Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients

Locations

300 E Osborn Rd
Ste 100
Phoenix, AZ 85012
Phone (602) 200-0770

300 E Osborn Rd
Phoenix, AZ 85012
Phone (520) 234-8494

7373 N Scottsdale Rd
Ste D100
Scottsdale, AZ 85253

9746 N 90th Pl
Ste 101
Scottsdale, AZ 85258
Phone (480) 391-0020

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

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.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1205926623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E OSBORN RD",
            "address_2": "100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-200-0770",
            "fax_number": "602-294-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OSBORN RD",
            "address_2": "100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-200-0770",
            "fax_number": "602-294-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMS",
        "first_name": "ROBERT",
        "middle_name": "NETTLESHIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "20722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.