Active NPI
Riemke M Brakema, M.D.
- Emergency Medicine Physician
- Tucson, AZ
National Provider Identifier
1497755326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18508
- Practice address
- 350 N Wilmot Rd
Tucson, AZ 85711-2602 - Phone
- (520) 872-7130
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18508 | AZ | Primary |
Addresses
Primary practice location
350 N Wilmot Rd
Tucson, AZ 85711-2602
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299538 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040527001032 | AZ | Practitioner - General Practice | 4486635141 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Room Associates | Past | Accepting new patients | |
| University Physicians Healthcare | Past | Accepting new patients | |
| Solace Behavioral Health LLC | Past | Accepting new patients | |
| Southwest Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Room Associates Limited | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- riemke.brakema.1@32508.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Physician Assistant
- Tucson, AZ
- NPI 1457576068
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1770586869
Emergency Medicine
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1023614609
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1992732259
Emergency Medicine
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1730141243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1497755326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-872-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112602",
"telephone_number": "520-872-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAKEMA",
"first_name": "RIEMKE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "18508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299538",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.