Active NPI
Brenden A Stealey, MD
- Pediatrics Physician
- Saint Charles, MO
National Provider Identifier
1255017919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2023020094
- Practice address
- 711 Veterans Memorial Pkwy
Saint Charles, MO 63303-2106 - Phone
- (636) 669-2443
- Fax
- (636) 669-2390
- NPI assigned
- Jun 26, 2023
- Last updated
- Aug 26, 2026
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2023020094 | MO | Primary |
Addresses
Primary practice location
711 Veterans Memorial Pkwy
Saint Charles, MO 63303-2106
Mailing address
1 Hospital Dr # 58.00
Columbia, MO 65212-1000
Phone (573) 882-4438
Other practice location 1
1 Hospital Dr # 58.00
Columbia, MO 65212-1000
Phone (573) 882-4438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230720003354 | MO | Order and Referring Only - Pediatric Medicine | 2365802444 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023020094 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1255017919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR # 58.00",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652121000",
"telephone_number": "573-882-4438",
"fax_number": "573-884-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 VETERANS MEMORIAL PKWY",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032106",
"telephone_number": "636-669-2443",
"fax_number": "636-669-2390"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr # 58.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652121000",
"country_code": "US",
"telephone_number": "573-882-4438",
"fax_number": "573-884-9992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEALEY",
"first_name": "BRENDEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2023020094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
- Stacey Hensler Stone
- Jessica Leigh Stafford, R.D.
- Laquesha Stanciel
- State of Missouri (St. Louis Developmental Disabilities Treatment Center)
- State of Missouri (St Charles Habilitation Center)
- Sandra Stegman, LPTA
- Justin Andrew Steinkamp, MD
- Step by Step Counseling, LLC
- Stephanie Devereux LPC LLC
- Gloria Stephen, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.