Brentwood Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R1P89 Issued in MO

Legal business name

BRENTWOOD PEDIATRICS PC

Practice address

1600 S Brentwood Blvd Ste 100
Saint Louis, MO 63144-1301

Phone

(314) 918-8827

Fax

(314) 918-9391

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jean Birmingham, MD

Title

Owner Physician

Phone

(314) 918-8827

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215098983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441301",
            "telephone_number": "314-918-8827",
            "fax_number": "314-918-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441301",
            "telephone_number": "314-918-8827",
            "fax_number": "314-918-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "314-918-8827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R1P89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentmoor Delmar - Spvef, LLC
• Brentmoor Retirement Community
• Brentwood Family Chiropractic Center, LLC
• Brentwood Family Dental Center, LLC
• Brentwood Painstop LLC
• Brentwood Physical Therapy Limited
• Alexander Angelo Brescia, MD
• Carol Zarinelli Brescia, L.C.S.W.
• Madeleine Rose Bresnahan
• Cathleen F Brethauer, R.N.-C, W.H.N.P.

• Pediatrics Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.