Brent T Hassemer

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

113926 Issued in WI

Practice address

18508 County Highway Q
Bloomer, WI 54724-3821

Phone

(715) 933-0849

NPI assigned

Mar 20, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1255835708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18508 COUNTY HIGHWAY Q",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547243821",
            "telephone_number": "715-933-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18508 COUNTY HIGHWAY Q",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547243821",
            "telephone_number": "715-933-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSEMER",
        "first_name": "BRENT",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "113926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Lee Herman, O.D.
• Hetzel Care Center Inc

• All providers in Bloomer, WI
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.