Anthony Andrew Bezreh, ANTHONY BEZREH MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

R5H51 Issued in MO

Practice address

8 Summerhill LN
Chesterfield, MO 63017-8408

Phone

(314) 469-0341

NPI assigned

Dec 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1285936708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUMMERHILL LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178408",
            "telephone_number": "314-469-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SUMMERHILL LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178408",
            "telephone_number": "314-469-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZREH",
        "first_name": "ANTHONY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "ANTHONY BEZREH MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "MO",
            "license": "R5H51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brant P Beste
• Shelby Nicole Beste, SA-C
• Beth J. Gearhart, M.D., P.C.
• Amanda Bextermiller, DPT
• Beyond Vision Mental Health Inc
• Amit Wasudeo Bhandarkar, MD
• Mythili C Bharadwaj, MD
• Sanjay T Bhat, M.D.
• Savita S. Bhat, M.D.
• Falak Bhatt, MD

• Aerospace Medicine Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Aerospace Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.

Verify at the official NPI Registry.