Total Access Urgent Care, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TOTAL ACCESS URGENT CARE, PC

Practice address

13861 Manchester Rd
Ballwin, MO 63011-4503

Phone

(314) 961-2255

Fax

(636) 220-9334

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Matthew M Bruckel, M.D.

Title

President

Phone

(314) 961-2255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1326482746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 VANCE RD",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881527",
            "telephone_number": "636-225-9447",
            "fax_number": "636-225-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114503",
            "telephone_number": "314-961-2255",
            "fax_number": "636-220-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ACCESS URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "BRUCKEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-961-2255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Total Access Urgent Care, PC (Total Access Urgent Care)
• Total Access Urgent Care, PC (Total Access Urgent Care)
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• Vinh Tran, AA
• Michelle Kathleen Treece
• True Colors ABA Consulting Services LLC

• Emergency Medicine Physician in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.