Roxane S. Bremen, D.O., P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

105058 Issued in MO

Legal business name

ROXANE S. BREMEN, D.O., P.C.

Practice address

622 SW 3Rd St
Ste B
Lees Summit, MO 64063-2280

Phone

(816) 398-7048

Fax

(913) 562-9972

NPI assigned

Oct 22, 2009

Last updated

Nov 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roxane BremenNPI 1033195540

Title

President

Phone

(816) 398-7048

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roxane S Bremen, D.O.

  • Neurology Physician
  • Kansas City, MO
  • NPI 1033195540
  Authorized official Same address or phone
• Mahmoud Wahba, MD

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1881658771
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1619203874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SW 3RD ST",
            "address_2": "SUITE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632280",
            "telephone_number": "816-398-7048",
            "fax_number": "913-562-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SW 3RD ST",
            "address_2": "STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632280",
            "telephone_number": "816-398-7048",
            "fax_number": "913-562-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANE S. BREMEN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "BREMEN",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-398-7048",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "105058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rosenblum, LCSW
• Hillary Rosenthal
• Johanna Roten, LCSW
• Patricia Lee Roth-Dohnalek, DDS
• Chelsey Lynn Rowden, FNP-C
• Royal Comfort Home Care LLC
• RS Counseling & Consultation LLC
• Shelby Diane Ruddell
• Evan Hansen Rudolph
• Heather Rae Ruoff, SLP

• Neurology Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.