John W Bremyer Podiatry Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36002545 Issued in OH

Legal business name

JOHN W BREMYER PODIATRY INC

Practice address

481 West Perry St
Suite D
Tiffin, OH 44883-4115

Phone

(419) 447-9685

Fax

(419) 447-8900

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W Bremyer, DPM

Title

President

Phone

(419) 447-9685

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1508046335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 WEST PERRY ST",
            "address_2": "SUITE D",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448834115",
            "telephone_number": "419-447-9685",
            "fax_number": "419-447-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 WEST PERRY ST",
            "address_2": "SUITE D",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448834115",
            "telephone_number": "419-447-9685",
            "fax_number": "419-447-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W BREMYER PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "BREMYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-447-9685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0958665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tiffin, OH
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.