Bremer Prosthetics, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BREMER PROSTHETICS, LLC

Practice address

3995 Fashion Square Blvd Ste 11
Saginaw, MI 48603-2268

Phone

(989) 249-9400

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Scott R Baranek, CPNPI 1265963029

Title

President/Owner

Phone

(810) 733-3375

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Baranek

  • Prosthetist
  • Saginaw, MI
  • NPI 1265963029
  NPD Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1346354651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 FASHION SQUARE BLVD STE 11",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032268",
            "telephone_number": "989-249-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 FASHION SQUARE BLVD STE 11",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032268",
            "telephone_number": "989-249-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMER PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "BARANEK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "810-733-3375",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4089981",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Douglas Brazeau, MD
• Alexander Brazil-Buckley
• Myrtis Brazil, BS, MA
• Kristy Ann Breidinger, PA
• Marcus S Breidinger, PA
• Abby Bremer
• Matthew Brenay
• Rebecca Brenay
• Christine Janet Brengman, CCC-A
• Christine Brennan, LMSW

• Customized Equipment (DME) in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.