Provider Demographics
NPI:1982676896
Name:BREMNER, LUKE FLYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:FLYNN
Last Name:BREMNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:332 SANTA FE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5143
Mailing Address - Country:US
Mailing Address - Phone:760-943-6700
Mailing Address - Fax:760-632-4292
Practice Address - Street 1:332 SANTA FE DR STE 110
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5143
Practice Address - Country:US
Practice Address - Phone:760-943-6700
Practice Address - Fax:760-632-4292
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89564207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB243435Medicare UPIN