RUSSELL E EGGEBRECHT MD NPI 1275551194

NPI Information

NPI: 1275551194
Provider Name: RUSSELL E EGGEBRECHT, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
8888 LADUE RD
STE 210
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 862-5044
Get Directions

Russell E Eggebrecht, MD is a cardiovascular disease internal medicine in Saint Louis, MO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Russell E Eggebrecht, MD NPI is 1275551194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8888 LADUE RD
STE 210
SAINT LOUIS, MO
ZIP 63124-056
Phone: (314) 862-5044
Fax: (314) 862-2734

The enumeration date for this NPI number is 7/18/2006 and was last updated on 11/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		R5480	MISSOURI	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	R5480	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110056201	OTHER	MISSOURI	RR MEDICARE
2	000000990	MEDICARE PIN	MISSOURI
3	202631628	MEDICAID	MISSOURI
4	A10936	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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