Louis Seitz Brunworth, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

2012020077 Issued in MO

Practice address

701 S New Ballas Rd Ste 310
Saint Louis, MO 63141-8725

Phone

(314) 251-8750

Fax

(314) 251-8751

NPI assigned

Oct 10, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Saint Louis University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Burn and Plastic Surgery LLCGroup PAC ID 4688622822, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• IA HMO C-SNP
• IA HMO

Interoperability endpoints

• Direct secure messaging: lbrunworth276618@directc.mercy.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Clinic Burn and Plastic Surgery, LLC

  • Plastic and Reconstructive Surgery Physician
  • St. Louis, MO
  • NPI 1912037433
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169
  Care Compare affiliation
• Mercy Hospitals East Communities

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1033360839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418725",
            "telephone_number": "314-251-8750",
            "fax_number": "314-251-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418725",
            "telephone_number": "314-251-8750",
            "fax_number": "314-251-8751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15945 Clayton Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112490",
            "country_code": "US",
            "telephone_number": "636-256-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNWORTH",
        "first_name": "LOUIS",
        "middle_name": "SEITZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2012020077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Brunts, PH.D.
• John T Brunts, MD
• Kathleen S Brunts, M.D.
• Jennifer Feldman Brunworth, MD
• Joseph David Brunworth, M.D.
• Brusatti Eye Care, LLC
• Judith Domenica Brusatti, APRN-CNP
• Robert Christian Brusatti, O.D.
• Nataliya Bruslik
• Douglas Phillip Brust, D.C.

• Plastic Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.