Gary Bremen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01857 Issued in IA

Practice address

1601 NW 114TH St
Clive, IA 50325-7007

Phone

(515) 222-7000

Fax

(515) 222-7037

NPI assigned

Aug 24, 2006

Last updated

May 3, 2023By the provider in NPPES

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

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbremen3940526@direct.trinity-health.org

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.

• Mercy Clinics, Inc.

  dba MercyOne Clive Family Medicine Clinic

  • Primary Care Clinic/Center
  • Clive, IA
  • NPI 1487670923

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Mercy Clinics, Inc.

  dba MercyOne Des Moines OB Hospitalists

  • Obstetrics & Gynecology Physician
  • Des Moines, IA
  • NPI 1508741505
  NPD
• Mercy Clinics Inc

  dba MercyOne Clive ENT Care Clinic

  • Clinic/Center
  • Clive, IA
  • NPI 1912187311
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1689781676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-222-7000",
            "fax_number": "515-222-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257007",
            "telephone_number": "515-222-7000",
            "fax_number": "515-222-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMEN",
        "first_name": "GARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027748",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "065788",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "55202",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleigh E Bouslog
• Emily Bowers, ARNP
• Brady Bird & Associates LLC (Bird Chiropractic and Wellness)
• Jeffrey Alan Brannen, DO
• Samantha Breakbill, ARNP
• Amy Brensel, MSPT
• Lon Russell Brewer, D.O.
• Connor William Bright
• Brittany K. Neef, Psy.D., LLC
• Megan Elizabeth Brodie, ARNP

• Family Medicine Physician in Clive, IA
• Providers in Clive, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.