Individual
JONATHAN SCOTT BREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 W ELK AVE, SUITE 8, ELIZABETHTON, TN 37643-2876
(423) 542-0400
(423) 542-0201
Mailing address
1503 W ELK AVE, SUITE 8, ELIZABETHTON, TN 37643-2876
(423) 542-0400
(423) 542-0201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15225
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007639
—
TN
01
—
4019973
BCBS
TN
Enumeration date
06/12/2006
Last updated
06/11/2019
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