Connie M Brem

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6051 Frankfort Hwy
Benzonia, MI 49616-9558

Phone

(877) 398-2013

NPI assigned

Aug 26, 2019

Sex

Female

Sole proprietor

Yes

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manistee Benzie Community Mental HealthGroup PAC ID 1850385329, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Manistee Benzie Community Mental Health

  • Community/Behavioral Health Agency
  • Manistee, MI
  • NPI 1063581205
  Medicare reassignment Care Compare group NPD
• Manistee Benzie Community Mental Health

  • Primary Care Clinic/Center
  • Manistee, MI
  • NPI 1366806432
  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1831746742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GLOCHESKI DR",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169558",
            "telephone_number": "877-398-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREM",
        "first_name": "CONNIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benzie-Leelanau District Health Department
• Benzie-Leelanau District Health Department
• Beth Betten, FNP
• Robert Edwayne Bodell
• Linda L Bramble, LMSW
• Joshua Shaw Brudi, DDS
• Molly Buday, LLMSW
• Payton R Burns
• Mary Campbell
• Jennifer Carrier, MSN, FNP-C

• Social Worker in Benzonia, MI
• Providers in Benzonia, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.