Individual provider Active NPI

Dakota Bryce Bremser, ARNP

  • Family Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1518690502
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A169878 Issued in IA
Practice address
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone
(712) 279-3500
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A169878 IA
Family Nurse Practitioner 363LF0000X A169878 IA Primary

Addresses

Primary practice location

2720 Stone Park Blvd
Sioux City, IA 51104-3734

Mailing address

PO Box 412
Schleswig, IA 51461-0412
Phone (720) 998-4166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20220909001887 IA Practitioner - Nurse Practitioner 4385029404 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A169878IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ida County Iowa Community Hospital Current Accepting new patients
Ida County Iowa Community Hospital CurrentSince Nov 3, 2024 Accepting new patients
Ida County Iowa Community Hospital Family Medicine CurrentSince Nov 3, 2024 Accepting new patients
Siouxland Hospitalists PLLC CurrentSince Sep 1, 2022 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

2720 Stone Park Blvd
Ste 335
Sioux City, IA 51104
Phone (712) 220-6634

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

Interoperability endpoints

  • Direct secure messaging: dbremser130100@direct.unitypoint.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1518690502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "SCHLESWIG",
            "state": "IA",
            "postal_code": "514610412",
            "telephone_number": "720-998-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "712-279-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMSER",
        "first_name": "DAKOTA",
        "middle_name": "BRYCE",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A169878",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A169878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.