Individual provider Active NPI

Sandra Marion Bremner, FNP

  • Family Nurse Practitioner
  • Conway, SC
National Provider Identifier
1699722884
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1956 Issued in SC
Practice address
8014 Myrtle Trace Dr
Conway, SC 29526
Phone
(843) 997-0912
Fax
(888) 979-8571
NPI assigned
May 31, 2006
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1956 SC Primary

Addresses

Primary practice location

8014 Myrtle Trace Dr
Conway, SC 29526

Mailing address

137 Holcombe LN
Conway, SC 29527-8616
Phone (843) 997-0912

Other practice location 1

3612 Mitchell St
Loris, SC 29569-2828
Phone (846) 756-2112

Other identifiers 2

IdentifierTypeStateIssuer
1956OtherSCS.C. STATE LICENSE
NP1250MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL southmedservices@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20060313000024 SC Practitioner - Nurse Practitioner 8628085941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

3112 Casey St
Loris, SC 29569-2808
Phone (843) 716-8940

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PH Health Care Services Inc CurrentSince May 7, 2024 Accepting new patients
Coastal Kidney Center PA CurrentSince Jun 19, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 18, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 18, 2024 Accepting new patients
Rosanne J Hooks MD PA Past Accepting new patients
Geriatric Practitioner Solutions, Inc. PastSince Jan 20, 2014 Accepting new patients
Rosanne J Hooks MD PA Past Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients
Mobile Medical Care Inc Past Accepting new patients
Pruitthealth Pharmacy Services, Inc. Past Accepting new patients
Mobile Medical Care, Inc. Past Accepting new patients

Locations

847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

107 McLeod Health Blvd
Bldg 3
Myrtle Beach, SC 29579
Phone (843) 366-3920

1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGJADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEBDD
  • Direct secure messaging: sbremner88059@directmcleodehealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1699722884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HOLCOMBE LN",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295278616",
            "telephone_number": "843-997-0912",
            "fax_number": "888-979-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-997-0912",
            "fax_number": "888-979-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3612 Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692828",
            "country_code": "US",
            "telephone_number": "846-756-2112",
            "fax_number": "843-756-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREMNER",
        "first_name": "SANDRA",
        "middle_name": "MARION",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S.C. STATE LICENSE",
            "identifier": "1956",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1250",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "southmedservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8014 Myrtle Trace Dr",
            "city": "Conway",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295268945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.