DR. WINDHAM BREMER (NPI# 1174523864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174523864 |
| Entity Type | Individual |
| Full Name | DR. WINDHAM BREMER |
| Credential | M.D. |
| Practice Address |
301 W Homer St Michigan City IN 46360-4358 |
| Mailing Address |
1353 E 1000 N La Porte IN 46350-8642 |
| Practice Telephone | 2198727464 |
| Mailing Telephone | 2197784790 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2011-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01023232A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100468140 | 05 |
| Street Address |
301 W HOMER ST |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-4358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320406 | Christy Berrier | Dietitian, Registered | 301 W Homer St, Michigan City, IN 46360-4358 | 2005-07-19 |
| 1962973057 | Kevin Sison | Physical Therapist | 301 W Homer St, Michigan City, IN 46360-4358 | 2018-12-16 |
| 1255809844 | William Charles Geegan Sahy | Pharmacist | 301 W Homer St, Michigan City, IN 46360-4358 | 2018-11-13 |
| 1568907483 | James Safrithis | Nurse Anesthetist, Certified Registered | 301 W Homer St, Michigan City, IN 46360-4358 | 2017-01-02 |
| 1609237585 | Jeffrey Taylor | Occupational Therapy Assistant | 301 W Homer St, Michigan City, IN 46360-4358 | 2016-03-18 |
| 1003275702 | Marietta Meuli | Specialist/Technologist | 301 W Homer St, Michigan City, IN 46360-4358 | 2016-02-23 |
| 1215396908 | Terry Harris | Physical Therapy Assistant | 301 W Homer St, Michigan City, IN 46360-4358 | 2016-02-23 |
| 1770942484 | Jami Ott | Physical Therapy Assistant | 301 W Homer St, Michigan City, IN 46360-4358 | 2016-02-23 |
| 1346609021 | Eileen Haas | Physical Therapy Assistant | 301 W Homer St, Michigan City, IN 46360-4358 | 2016-02-23 |
| 1235598947 | Zachary Ornelas | Specialist/Technologist | 301 W Homer St, Michigan City, IN 46360-4358 | 2016-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259148 | Jagannath K Dixit | Radiology | 8865 W 400 No., #115, Michigan City, IN 46360-9223 | 2005-07-15 |
| 1164830196 | Dobben Medical Corp | Radiology | 3723 Franklin St, Michigan City, IN 46360-7310 | 2014-07-22 |
| 1366492936 | Michigan City Radiologists, Inc | Radiology | 301 W Homer St, Michigan City, IN 46360-4358 | 2006-05-12 |
| 1447252184 | Richard Dobben | Radiology | 301 W Homer St, Michigan City, IN 46360-4358 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
| 1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
| 1922594225 | Lutheran Health Imaging LLC | Radiology | 1700 Alber St Ste 103, Wabash, IN 46992-1015 | 2018-07-10 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
Please comment or provide details below to improve the information on DR. WINDHAM BREMER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.