Brad E Kremer PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301091114 Issued in MI

Legal business name

BRAD E KREMER PLLC

Practice address

2195 Spring Arbor Rd
Jackson, MI 49203-2797

Phone

(517) 539-6111

Fax

(517) 539-6110

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Donna Stetler, R.T.

Title

Office Manager

Phone

(517) 539-6111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paige Katherine Gibson, PA-C

  • Physician Assistant
  • Jackson, MI
  • NPI 1679315139
  Medicare reassignment NPD
• Brad Ernest Kremer, M.D.

  • Family Medicine Physician
  • Jackson, MI
  • NPI 1396914230
  Medicare reassignment
• Claire Jean Denecker, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1164019378
  NPD
• Tyler Jebbia

  • Medical Physician Assistant
  • Jackson, MI
  • NPI 1316827215
  NPD
• Meghan Kimberly Rutherford, FNP-C

  • Family Nurse Practitioner
  • Adrian, MI
  • NPI 1578382081

  Single Specialty

  NPD (past)
• Elizabeth Jean Wierenga, PA-C

  • Student in an Organized Health Care Education/Training Program
  • Jackson, MI
  • NPI 1760951321
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1912450818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032797",
            "telephone_number": "517-539-6111",
            "fax_number": "517-539-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032797",
            "telephone_number": "517-539-6111",
            "fax_number": "517-539-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD E KREMER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "STETLER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-539-6111",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301091114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Boyce
• Adam Boyd
• Boydsco Holdings LLC
• Melissa Boyer
• Jane M Boyle, NP-C
• Bethany Ruth Bradford, DPT
• Taylor Bradish
• Amanda J Bradley, MSN RN
• Chassity Bradley
• Galena S Bradley

• Family Medicine Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.