Individual provider Active NPI

Brittany N Chrisman, MD

  • Emergency Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1104323666
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2021030692 Issued in MO
Practice address
1722 Clarkson Rd
Chesterfield, MO 63017-4976
Phone
(636) 206-2665
Fax
(636) 206-2664
NPI assigned
Apr 11, 2018
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.161909 IL
Emergency Medicine Physician 207P00000X 2021030692 MO Primary

Addresses

Primary practice location

1722 Clarkson Rd
Chesterfield, MO 63017-4976

Mailing address

1722 Clarkson Rd
Chesterfield, MO 63017-4976
Phone (636) 206-2665

Other practice location 1

6800 State Route 162
Maryville, IL 62062-8521
Phone (618) 288-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210914001172 MO Practitioner - Emergency Medicine 9739427402 Reassigns benefits to 2 organizations
I20221201001940 IL Practitioner - Emergency Medicine 9739427402 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.161909ILMDEmergency Medicine Physician
2021030692MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Midwest Emergency Anderson Health, Inc Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Midwest Inpatient Anderson Health, Inc Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Touchette Regional Hospital Inc Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

1722 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 206-2665

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1104323666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-206-2665",
            "fax_number": "636-206-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-206-2665",
            "fax_number": "636-206-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 State Route 162",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620628521",
            "country_code": "US",
            "telephone_number": "618-288-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "BRITTANY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.161909",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2021030692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.