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RAYMOND A. BRICKHOUSE DPM LLC NPI 1780137356


NPI Information

NPI: 1780137356
Provider Name: RAYMOND A. BRICKHOUSE, DPM LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3535 S JEFFERSON AVE STE 2
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 381-1802
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RAYMOND A. BRICKHOUSE, DPM LLC is a durable medical equipment medical supplies in Saint Louis, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RAYMOND A. BRICKHOUSE, DPM LLC NPI is 1780137356. The provider is registered as an organization entity type.

The provider's business location address is:

3535 S JEFFERSON AVE STE 2
SAINT LOUIS, MO
ZIP 63118-930
Phone: (314) 381-1802
Fax: (866) 927-4145

The provider's authorized official is Raymond A Brickhouse .
The authorized official title is Owner and has the following contact phone number (314) 381-1800.

The enumeration date for this NPI number is 7/29/2016 and was last updated on 7/29/2016.


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
1332B00000XDurable Medical Equipment & Medical Supplies2008026233MISSOURIYes

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
16692370002MEDICARE PINMISSOURI
26692370001MEDICARE NSCMISSOURI
3MA1359MEDICARE PINMISSOURI
4MA575001MEDICARE PINMISSOURI
5IL2191MEDICARE PINILLINOIS
61437314812MEDICAIDMISSOURI
7MA5750MEDICARE PINMISSOURI

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: 5/5/2024
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