Bradley Alan Byergo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002015240 Issued in MO

Practice address

1384 S 5TH St
Saint Charles, MO 63301-2444

Phone

(636) 946-9242

Fax

(636) 946-4903

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Associates, Inc.Group PAC ID 3870651508, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Midwest Eye Associates, Inc.

  • Optometrist
  • Saint Charles, MO
  • NPI 1215159504
  Medicare reassignment Care Compare group NPD Authorized official
• Palombi Vision Center PC

  • Primary Care Clinic/Center
  • Wentzville, MO
  • NPI 1528378437
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1336272285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 S 5TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012444",
            "telephone_number": "636-946-9242",
            "fax_number": "636-946-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 S 5TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012444",
            "telephone_number": "636-946-9242",
            "fax_number": "636-946-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1384 S Fifth Street",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "MO",
            "postal_code": "63301",
            "country_code": "US",
            "telephone_number": "636-946-9242",
            "fax_number": "636-946-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYERGO",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002015240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315859009",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Burmeister, DC
• Julie Burr, LCSW
• Andrea Burrows
• Kayla Burton, LPC
• Kimberly Bussen, LPC
• Kodi Byrd
• Sarah Magdalene Cady, MS, LPC, CRADC
• Alexis Cain
• Mareayna Daucha Caine, LPC
• Frank S. Calandrino Jr., M.D.

• Optometrist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.