Bremen, Gary
Bremen, Gary is an individual health care provider with primary practice located at 1601 Nw 114Th St , Clive IA 50325-7007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bremen, Gary can be contacted via phone (515) 222-7000.Contact Information
Primary practice address
1601 Nw 114Th St
Clive IA 50325-7007
Phone: (515) 222-7000
Fax: (515) 222-7037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01857 | Iowa |
Profile Details
| NPI number | 1689781676 |
|---|---|
| LBN Legal business name | Bremen, Gary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | May 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689781676 | NPPES |
| Iowa | Other | 55202 | WELLMARK |
| Iowa | Other | 065788 | WELLMARK |
| Iowa | MEDICAID | 1027748 | WELLMARK |
Popular Providers
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Gerdis, Timothy Allen
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1601 Nw 114Th St , Clive IA 50325-7007