Active NPI
Malcolm H Bremer, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Humble, TX
National Provider Identifier
1396747630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- E5010
- Practice address
- 18955 N Memorial Dr
Ste 550
Humble, TX 77338-4269 - Phone
- (281) 446-6464
- NPI assigned
- Jun 1, 2005
- Last updated
- Jan 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E5010 | TX | |
| Vascular Surgery Physician | 2086S0129X | E5010 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | E5010 | TX | Primary |
Addresses
Primary practice location
18955 N Memorial Dr
Ste 550
Humble, TX 77338-4269
Mailing address
18955 N Memorial Dr
Ste 550
Humble, TX 77338-4269
Phone (281) 446-6464
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133933503 | Medicaid | TX | |
| 74066451 77338 A001 | Other | TX | TRICARE |
| 061900224 | Other | TX | RAILROAD MEDICARE |
| 10015423 | Other | TX | AMERIGROUP |
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
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Humble, TX
- NPI 1891800892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1396747630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18955 N MEMORIAL DR",
"address_2": "STE 550",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384269",
"telephone_number": "281-446-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18955 N MEMORIAL DR",
"address_2": "STE 550",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384269",
"telephone_number": "281-446-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "MALCOLM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E5010",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "E5010",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "E5010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133933503",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "74066451 77338 A001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "061900224",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10015423",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.