Brementown Physicians LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35048500L Issued in OH

Legal business name

BREMENTOWN PHYSICIANS LLC

Practice address

200 Saint Clair Ave
Saint Marys, OH 45885-2400

Phone

(419) 629-2662

NPI assigned

Dec 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James D Luedeke, M.D.

Title

Physician

Phone

(419) 629-2662

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1730418344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 RUMMEL CREEK DR",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458699666",
            "telephone_number": "419-629-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-629-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMENTOWN PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "LUEDEKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-629-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35048500L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Alan Bergman, PHARMD
• Natalie Ann Berning
• Gwen M Bertke, PTA
• Karli Nicole Biro
• Jenna Boeckman, PT, DPT
• Kimberly D Brigham
• Angela Ann Brown, ATC
• Sherri L. Brown, LMT
• Scott Randal Bruce, DC
• Kenneth Lance Bryant, DO

• Family Medicine Physician in Saint Marys, OH
• Providers in Saint Marys, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.