Bryan Warner MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2009032163 Issued in MO

Legal business name

BRYAN WARNER MD PC

Doing business as

BodyLogicMD of St. Louis

Practice address

1034 S Brentwood Blvd
Suite 516
Saint Louis, MO 63117-1223

Phone

(877) 445-9050

Fax

(877) 445-9051

NPI assigned

Dec 9, 2009

Last updated

Dec 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Warner, M.D.NPI 1710917604

Title

Director

Phone

(877) 445-9050

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of St. Louis Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Warner, M.D.

  • Family Medicine Physician
  • Richmond Heights, MO
  • NPI 1710917604
  NPD (past) Authorized official

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1063741767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 516",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "877-445-9050",
            "fax_number": "877-445-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 516",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "877-445-9050",
            "fax_number": "877-445-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN WARNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-445-9050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2009032163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Christian Brusatti, O.D.
• Nataliya Bruslik
• Douglas Phillip Brust, D.C.
• Blake A Bruton, M.D.
• Judy Raker Bruton, J.D., L.C.S.W.,
• Bruce L Bryan, MD
• Darla Jean Bryan, RN, CS, ANP
• Marisa Bryan
• Melanie Merrell Bryan, MD
• Michele Merrell Bryan, PH.D.

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.