Active NPI
Joyce F Bremer, M.D.
- Gastroenterology Physician
- Cookeville, TN
National Provider Identifier
1346234028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 13543
- Practice address
- 438 N Whitney Ave
Cookeville, TN 38501-2455 - Phone
- (931) 783-2616
- Fax
- (931) 783-2610
- NPI assigned
- Sep 8, 2005
- Last updated
- May 15, 2017
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 13543 | TN | Primary |
Addresses
Primary practice location
438 N Whitney Ave
Cookeville, TN 38501-2455
Mailing address
127 N Oak Ave
Suite D
Cookeville, TN 38501-2435
Phone (931) 783-5857
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1511160 | Medicaid | TN | |
| 4204695 | Other | TN | BCBS |
| 64795693 | Medicaid | KY |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialists of Cookeville, PLLC | Gastroenterology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Cookeville, TN
- NPI 1912984196
Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1346234028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N OAK AVE",
"address_2": "SUITE D",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012435",
"telephone_number": "931-783-5857",
"fax_number": "931-526-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 N WHITNEY AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012455",
"telephone_number": "931-783-2616",
"fax_number": "931-783-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "JOYCE",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "13543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511160",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4204695",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64795693",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.