Individual provider Active NPI

Bryan Everett Steele, MD

  • Family Medicine Physician
  • Alton, IL
National Provider Identifier
1053503045
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036085339 Issued in IL
Practice address
4 Memorial Dr Ste 210
Alton, IL 62002
Phone
(618) 463-5905
Fax
(618) 463-5935
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036085339 IL Primary

Addresses

Primary practice location

4 Memorial Dr Ste 210
Alton, IL 62002

Mailing address

4 Memorial Dr Ste 210
Alton, IL 62002-6751
Phone (618) 463-5905

Other identifiers 1

IdentifierTypeStateIssuer
036085339MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bryan.steele.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20091202000550 IL Practitioner - Family Practice 5092854166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oral Roberts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, 117 clinicians

Practice addresses (Care Compare)

2 Terminal Dr
Suite 8
East Alton, IL 62024-2294
Phone (618) 258-0485

2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191

2615 Edwards St
Alton, IL 62002-3915
Phone (618) 462-4342

Hospital & facility affiliations

  • Osf Saint Anthony'S Home Health Home health agency, Alton, IL, CCN 147113
  • Elara Caring V Home health agency, Springfield, IL, CCN 148086
  • Apollo Medical Home health agency, Saint Louis, MO, CCN 267580
  • Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc CurrentSince Apr 8, 2013 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. Family Medicine CurrentSince Apr 8, 2013 Accepting new patients
Southern Illinois Healthcare Foundation Inc Family Medicine Current Accepting new patients
Osf Healthcare System Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

4 Memorial Dr
Ste 210
Alton, IL 62002
Phone (618) 463-5905

815 E 5th St
Ste 202
Alton, IL 62002
Phone (618) 462-4939

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2041 Goose Lake Rd
Sauget, IL 62206

Interoperability endpoints

  • Direct secure messaging: bryan.steele.1@9559.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1053503045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEMORIAL DR STE 210",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026751",
            "telephone_number": "618-463-5905",
            "fax_number": "618-463-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEMORIAL DR STE 210",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "618-463-5905",
            "fax_number": "618-463-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "BRYAN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085339",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan.steele.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4 Memorial Dr Ste 210",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.