Individual provider Active NPI

Mary H Brice, RN BC ANP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1134310519
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
052034 Issued in MO
Practice address
3023 N Ballas Rd
Suite 500D Rheumatology & Internal Med Assoc of West Co
St Louis, MO 63131
Phone
(314) 567-4541
Fax
(314) 569-3647
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 052034 MO Primary

Addresses

Primary practice location

3023 N Ballas Rd
Suite 500D Rheumatology & Internal Med Assoc of West Co
St Louis, MO 63131

Mailing address

3023 N Ballas Rd
Suite 500D
St Louis, MO 63131
Phone (314) 567-4541

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
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Multispecialty Group Inc. Nurse Practitioner CurrentSince Apr 28, 2024 Accepting new patients

Locations

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

Organizations & group practices 1

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1134310519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD",
            "address_2": "SUITE 500D",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-567-4541",
            "fax_number": "314-569-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD",
            "address_2": "SUITE 500D RHEUMATOLOGY & INTERNAL MED ASSOC OF WEST CO",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-567-4541",
            "fax_number": "314-569-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "RN BC ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "052034",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 9, 2007; 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.