Visionary CTS LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VISIONARY CTS LLC

Practice address

1551 Wall St Ste 120
Saint Charles, MO 63303-3540

Phone

(636) 219-0177

Fax

(636) 493-1002

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bradley A Breeden, DONPI 1891812814

Title

Medical Director

Phone

(913) 669-9394

Specialties & licenses 1

Addresses

Other names 1

• Concierge Testing Vaccine Solutions 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.

• Bradley A Breeden, M.D.

  • Occupational Medicine Physician
  • Saint Louis, MO
  • NPI 1891812814
  NPD (past) Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1073198065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 WALL ST STE 120",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033540",
            "telephone_number": "636-219-0177",
            "fax_number": "636-493-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 WALL ST STE 120",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033540",
            "telephone_number": "636-219-0177",
            "fax_number": "636-493-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY CTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "BREEDEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-669-9394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Testing Vaccine Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veria Counseling, LLC
• Janene Rae Verrant, PHARM.D.
• Vertical Limit Counseling, LLC
• Erin Victorian
• Felix T Vincenz, PH.D.
• Visionary Vaccination & Health Services
• Visiting Care Giving Support Services LLC
• Visiting Caregiver Services
• Doreen Vlassis, RPH
• Corinna Vomund, COTA/L

• Clinic/Center in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.