Andrew Bramer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085.003604 Issued in IL

Practice address

3100 Theodore St
Suite 204
Joliet, IL 60435-8534

Phone

(815) 725-2253

NPI assigned

Nov 9, 2009

Sex

Male

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 IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Emergency Medical Associates of Palos, LTD.

  • Emergency Medicine Physician
  • Palos Heights, IL
  • NPI 1285918128
  Medicare reassignment

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1679800866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 SUNRISE DR",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773745",
            "telephone_number": "815-762-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 THEODORE ST",
            "address_2": "SUITE 204",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358534",
            "telephone_number": "815-725-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMER",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.003604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Boyd
• Rachel Brace
• Demitrius Brackett, OWNER/DO
• Kim Katherine Bradley
• Caitlin Bragg
• Julie Branchaw, LPC
• Bravo Care of Joliet Inc
• Breakthrough Wellness Centre
• Breck Tiernan PC
• Joshua Robert Brehn, B,S,

• Medical Physician Assistant in Joliet, IL
• Providers in Joliet, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.

Verify at the official NPI Registry.