Active NPI
Steven Robert Brenner, M.D.
- Neurology Physician
- Saint Louis, MO
National Provider Identifier
1083664601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- R7224
- Practice address
- 1438 S Grand Blvd
St. Louis University, Dept. Neurology & Psychiatry
Saint Louis, MO 63104-1027 - Phone
- (314) 977-6082
- Fax
- (314) 977-6086
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R7224 | MO | Primary |
Addresses
Primary practice location
1438 S Grand Blvd
St. Louis University, Dept. Neurology & Psychiatry
Saint Louis, MO 63104-1027
Mailing address
1438 South Grand Boulevard
Dept. Neurology and Psychiatry, St. Louis University
Saint Louis, MO 63104-1027
Phone (314) 977-6082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB1945 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7224 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis University | Past | Accepting new patients | |
| Ozarks Medical Center | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optician
- Saint Louis, MO
- NPI 1487869863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1083664601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 SOUTH GRAND BOULEVARD",
"address_2": "DEPT. NEUROLOGY AND PSYCHIATRY, ST. LOUIS UNIVERSITY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041027",
"telephone_number": "314-977-6082",
"fax_number": "314-977-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 S GRAND BLVD",
"address_2": "ST. LOUIS UNIVERSITY, DEPT. NEUROLOGY & PSYCHIATRY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041027",
"telephone_number": "314-977-6082",
"fax_number": "314-977-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "STEVEN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "R7224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SB1945",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.