DR. RANDALL J BREMNER (M.D.) – Obstetrics & Gynecology Physician, NPI 1003857657

DR. RANDALL J BREMNER (M.D.) is a healthcare provider. based in Prairie du chien, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 61454 (WI). The NPI Number for DR. RANDALL J BREMNER (M.D.) is 1003857657

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDALL J BREMNER (M.D.)
NPI
1003857657
Phone
(608) 326-0808
Address
800 E Blackhawk Ave
Enumeration Date
8 June 2006
Last Update Date
28 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5635472021
Graduation Year
1984 (42 years ago)
PAC ID
7113057944
Group Practice PAC ID
1153238977
Professional Enrollment ID
I20240323000533
Address ID
IA521361064CR321XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

797 OBSTETRICS/GYNECOLOGY in WI

Provider Addresses for DR. RANDALL J BREMNER (M.D.)

  • 800 E Blackhawk Ave

    Prairie Du Chien, WI 538211698

    Phone: (608) 326-0808

    Type: Location

  • Winneshiek Medical Center, 901, Montgomery Street, Decorah, Winneshiek County, Iowa, 52101, United States

    DECORAH, IA 521012325

    Phone: (563) 382-2911

    Fax: (563) 387-3102

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100604000731IObstetrics/GynecologyIATBD
I20140109000138IObstetrics/GynecologyWITBD
I20230126001201IObstetrics/GynecologyALTBD
I20230515003434IObstetrics/GynecologyWATBD
I20231110000708IObstetrics/GynecologyILTBD
I20240111004233IObstetrics/GynecologyINTBD
I20240323000533IObstetrics/GynecologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53821)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153238977View full group profile
NameSpecialtyState
Physician AssistantWI
Nurse PractitionerIA
Certified Nurse Midwife (Cnm)IA
Certified Nurse Midwife (Cnm)IA
Family PracticeCO
Mental Health CounselorMN
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerMN

Reviews

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Frequently asked questions

How is DR. RANDALL J BREMNER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. RANDALL J BREMNER (M.D.) with NPI 1003857657.
Is DR. RANDALL J BREMNER (M.D.) still practicing?
DR. RANDALL J BREMNER (M.D.) is currently listed as active in the public NPI registry.
What is DR. RANDALL J BREMNER (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. RANDALL J BREMNER (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RANDALL J BREMNER (M.D.) on a map?
Expect Prairie Du Chien, Wisconsin as a primary anchor for DR. RANDALL J BREMNER (M.D.) unless the record lists multiple sites.
Why does DR. RANDALL J BREMNER (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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