Healthcare Provider Details

I. General information

NPI: 1285830810
Provider Name (Legal Business Name): ANDREW ALAN BREMER M.D., PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY 11136 DOCTORS' OFFICE TOWER
NASHVILLE TN
37232-9170
US

IV. Provider business mailing address

1106 S DOUGLAS AVE
NASHVILLE TN
37204-2025
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-1874
  • Fax: 615-875-7633
Mailing address:
  • Phone: 415-533-2106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberA91845
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number46141
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: