NPIMap

Organization Active NPI

Malcolm H. Bremer, M.D., P.a.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Humble, TX
National Provider Identifier
1891800892
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E5010 Issued in TX
Legal business name
MALCOLM H. BREMER, M.D., P.A.
Practice address
18955 N Memorial Dr Ste 550
Humble, TX 77338-4269
Phone
(281) 446-6464
Fax
(281) 446-7869
NPI assigned
Aug 20, 2006
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Malcolm H Bremer, M.D.NPI 1396747630
Title
Owner
Phone
(281) 446-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X E5010 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X E5010 TX Primary

Addresses

Primary practice location

18955 N Memorial Dr Ste 550
Humble, TX 77338-4269

Mailing address

18955 N Memorial Dr Ste 550
Humble, TX 77338-4269
Phone (281) 446-6464

Other identifiers 5

IdentifierTypeStateIssuer
061900224OtherTXRAILROAD MEDICARE
156055901MedicaidTX
10015423OtherTXAMERIGROUP
74066451 77338 A001OtherTXTRICARE
133933503MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1891800892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 550",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384269",
            "telephone_number": "281-446-6464",
            "fax_number": "281-446-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 550",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384269",
            "telephone_number": "281-446-6464",
            "fax_number": "281-446-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM H. BREMER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "BREMER",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-446-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "E5010",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "E5010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "061900224",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156055901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10015423",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "74066451 77338 A001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133933503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.