NPIMap

Individual provider Active NPI

Bonnie Louise Bremer, M.D.

  • Internal Medicine Physician
  • Lake in the Hills, IL
National Provider Identifier
1396738894
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036087922 Issued in IL
Practice address
170 North Lakewood Road
Lake in the Hills, IL 60156-5945
Phone
(224) 569-4000
Fax
(224) 569-4001
NPI assigned
Aug 30, 2005
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036087922 IL Primary

Addresses

Primary practice location

170 North Lakewood Road
Lake in the Hills, IL 60156-5945

Mailing address

170 North Lakewood Road
Lake in the Hills, IL 60156-5945
Phone (224) 569-4000

Other identifiers 1

IdentifierTypeStateIssuer
036087922MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bonnie.bremer@urb.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000596 IL Practitioner - Internal Medicine 2365348778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urbancare LLCGroup PAC ID 2466752480, 7 clinicians

Practice addresses (Care Compare)

170 N Lakewood Rd
Lake in the Hills, IL 60156-5944
Phone (224) 569-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.46 of 100Reported as individual
Quality
92.68
Improvement activities
40
Cost
77.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urbancare, LLC Internal Medicine CurrentSince May 2, 2016 Accepting new patients

Locations

170 N Lakewood Rd
Lk in the Hls, IL 60156
Phone (224) 569-4000

Interoperability endpoints

  • Direct secure messaging: bonnie.bremer@urb.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHCAD

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1396738894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "224-569-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "224-569-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMER",
        "first_name": "BONNIE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087922",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonnie.bremer@urb.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "170 North Lakewood Road",
            "city": "Lake in the Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601565945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.