Bremer Gwaltney, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0024189576 Issued in VA

Practice address

2050 Hillpoint Blvd N
Suffolk, VA 23434-7181

Phone

(757) 539-3911

Fax

(757) 925-0615

NPI assigned

Mar 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bremer.gwaltney.1@22824.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1699365072
  Medicare reassignment NPD
• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1851339246
  NPD (past)

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1447018403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347181",
            "telephone_number": "757-539-3911",
            "fax_number": "757-925-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347181",
            "telephone_number": "757-539-3911",
            "fax_number": "757-925-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWALTNEY",
        "first_name": "BREMER",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024189576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tharini Gunapalan, M.D.
• Bhavdeep K Gupta, MD, FACC
• Dolly Gupta, M.D.
• Kellie A Gustas, P.A-C
• Edwin L Gutshall
• James Ryland Gwaltney
• Steve A Gwaltney, D.D.S.
• Whitney Bailey Gwaltney, DDS
• River Sky Haas
• Anke Hacker, MD

• Women's Health Nurse Practitioner in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Women's Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.