| Organization Name: | BREMER PROSTHETIC DESIGN, INC. |
| NPI Number: | 1053324673 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATHAN J KAPA (PRESIDENT/OWNER) |
| Mailing Address: | G3487 S. Linden Rd. Ste. U Flint |
| State: | MI US |
| Postal Code: | 485073020 |
| Phone Number: | 8107333375 |
| Fax Number: | 8107330117 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |