Individual provider Active NPI

Brita Axell Bruemmer, MD

  • Family Medicine Physician
  • Big Sur, CA
National Provider Identifier
1306917265
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G063772 Issued in CA
Practice address
46896 Highway 1
Big Sur, CA 93920-9693
Phone
(831) 667-2580
Fax
(831) 667-0184
NPI assigned
Nov 13, 2006
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G063772 CA Primary

Addresses

Primary practice location

46896 Highway 1
Big Sur, CA 93920-9693

Mailing address

46896 Highway 1
Big Sur, CA 93920-9693
Phone (831) 667-2580

Other identifiers 3

IdentifierTypeStateIssuer
00G637720MedicaidCA
00G637720OtherCAMEDICARE PTAN
77-0077112OtherCABIG SUR HEALTH CENTER

Other names 1

  • Dr. Brita Lauren Axell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G063772CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sur Health Center CurrentSince Jan 1, 2015 Accepting new patients
Big Sur Health Center CurrentSince Jan 1, 2015 Accepting new patients

Locations

46896 Highway 1
Big Sur, CA 93920
Phone (831) 667-2181

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1306917265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46896 HIGHWAY 1",
            "city": "BIG SUR",
            "state": "CA",
            "postal_code": "939209693",
            "telephone_number": "831-667-2580",
            "fax_number": "831-667-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46896 HIGHWAY 1",
            "city": "BIG SUR",
            "state": "CA",
            "postal_code": "939209693",
            "telephone_number": "831-667-2580",
            "fax_number": "831-667-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEMMER",
        "first_name": "BRITA",
        "middle_name": "AXELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G063772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G637720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00G637720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIG SUR HEALTH CENTER",
            "identifier": "77-0077112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITA",
            "last_name": "AXELL",
            "middle_name": "LAUREN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Big Sur, CA

Sources for this page

Verify at the official NPI Registry.