Elisha Bremmer, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

007059 Issued in AZ

Practice address

3269 Stockton Hill Rd
Kingman, AZ 86409-3619

Phone

(928) 757-0649

NPI assigned

Feb 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Emergency Medicine

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunset Emergency Physicians LLC 15 clinicians

Innova Emergency Medical Associates PC 69 clinicians

Exceptional Physicians Group Bullhead City Hospital PLLC 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Exceptional Community Hospital Bullhead City Hospital, Bullhead City, AZ, CCN 030155
• La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Merit-based Incentive Payment System (MIPS)

Final score

93.8 of 100Reported as group

Quality

85.23

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as virtual group

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elishabremmer@lprh.medalliesdirect.net

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.

• Exceptional Physicians Group Bullhead City Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1518732023

  AZ

  Medicare reassignment Care Compare group NPD
• Sunset Emergency Physicians LLC

  • Emergency Medicine Physician
  • Parker, AZ
  • NPI 1871504860

  AZ, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Innova Emergency Medical Associates PC

  • Emergency Medicine Physician
  • Trinidad, CO
  • NPI 1295178978

  AZ, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229

  AZ

  Medicare reassignment NPD
• Exceptional Physicians Group Prescott Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Prescott, AZ
  • NPI 1720807670

  AZ

  Medicare reassignment NPD
• Exceptional Physicians Group Yuma Hospital PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1235857699

  AZ, Emergency Medicine

  Medicare reassignment NPD
• Gila River Health Care Corporation

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Tempe Emergency Physicians, LTD

  • Emergency Medicine Physician
  • Bullhead City, AZ
  • NPI 1376934315

  AZ, Emergency Medicine

  Medicare reassignment NPD
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Sacaton, AZ
  • NPI 1417237074
  NPD
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555
  NPD
• Emcare Physician Providers, Inc

  • Emergency Medicine Physician
  • Parker, AZ
  • NPI 1821048927

  Emergency Medicine

  NPD (past)

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

• Exceptional Health Care Bullhead City LLC

  • Special Hospital
  • Bullhead City, AZ
  • NPI 1750092110

  Hospital

  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Hospital

  Care Compare affiliation
• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555

  Hospital

  Care Compare affiliation
• La Paz Regional Hospital Inc., Dba Parker Podiatry

  • Podiatrist
  • Parker, AZ
  • NPI 1568875771

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1275924573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 S BERNARD ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993625030",
            "telephone_number": "910-489-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMMER",
        "first_name": "ELISHA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "007059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Partners, LP
• Kelly Marie Bradley, DMD
• Douglas W Brandt, MD
• Breathing Disorders Services
• Carol Marquis Breckenridge, LMSW
• Thomas Dee Bress, LISAC
• Arlene Bridgers, LPN
• Brighter Heights Arizona, LLC Dba Hualapai Mountain
• Taz Aaron Brinkerhoff, MD
• Dustin Ray Brisco, PT

• All providers in Kingman, AZ
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.