Bremen Family Health and Wellness

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

RN150905 Issued in GA

Legal business name

BREMEN FAMILY HEALTH AND WELLNESS

Practice address

509 Alabama Ave S
Bremen, GA 30110-2007

Phone

(770) 537-5555

Fax

(770) 537-0548

NPI assigned

Dec 21, 2006

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph J TempletonNPI 1558423830

Title

Ceo

Phone

(770) 537-5555

Specialties & licenses 4

Addresses

Locations

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.

• Ralph J Templeton, DC

  • Chiropractor
  • Bremen, GA
  • NPI 1558423830
  NPD Authorized official
• Donald A Capoferri, DC

  • Chiropractor
  • Norcross, GA
  • NPI 1548322357
  NPD (past)
• Sarandeep K. Makkar, MD, DO

  • Family Medicine Physician
  • Lithonia, GA
  • NPI 1487683157
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1891859849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102007",
            "telephone_number": "770-537-5555",
            "fax_number": "770-537-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102007",
            "telephone_number": "770-537-5555",
            "fax_number": "770-537-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMEN FAMILY HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-537-5555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "GA",
            "license": "RN150905",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2627",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen James Blank, DMD
• Lisa Ann Bradley, LAPC
• Whitney Brannon, NP
• Bremen City School System
• Bremen Dental Depot LLC
• Bremen Family Medicine
• Christopher Brimeyer
• Chasity Cowart Brock, NP-C
• Jamie Leigh Brown, M.ED.
• Cantrell Lake Inpatient Services LLC

• Adult Health Clinical Nurse Specialist in Bremen, GA
• Providers in Bremen, GA by specialty
• Adult Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.