Individual provider Active NPI

Jeffrey Bryant Thompson, M.D.

  • Obstetrics & Gynecology Physician
  • Chesterfield, MO
National Provider Identifier
1346337219
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
105776 Issued in MO
Practice address
224 S Woods Mill Rd Ste 750
Chesterfield, MO 63017-3513
Phone
(314) 576-9797
Fax
(314) 469-7517
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 105776 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd Ste 750
Chesterfield, MO 63017-3513

Mailing address

224 S Woods Mill Rd
Suite 750
Chesterfield, MO 63017-3451
Phone (314) 576-9797

Other practice location 1

5551 Winghaven Blvd Ste 170
O Fallon, MO 63368-3630
Phone (314) 576-9797

Other practice location 2

103 Hilltop Village Center Dr
Eureka, MO 63025-1108
Phone (314) 576-9797

Other identifiers 1

IdentifierTypeStateIssuer
203848007MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111202000724 MO Practitioner - Obstetrics/Gynecology 0244363513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrical Associates of St Lukes LLCGroup PAC ID 4688908890, 7 clinicians

Practice addresses (Care Compare)

224 S Woods Mill Rd
Suite 750S
Chesterfield, MO 63017-3623
Phone (314) 576-9797

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105776MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrical Associates of St. Luke'S, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients
St. Lukes Medical Group Obstetrics & Gynecology PastSince Oct 5, 2021 Accepting new patients
St. Lukes Episcopal-Presbyterian Hospital Past Accepting new patients

Locations

224 S Woods Mill Rd
Ste 750S
Chesterfield, MO 63017
Phone (314) 576-9797

5551 Winghaven Blvd
Ste 170
O Fallon, MO 63368
Phone (314) 205-6788

Interoperability endpoints

  • Direct secure messaging: jthompson152441@direct.carenet.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1346337219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 750",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-576-9797",
            "fax_number": "314-469-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 750",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-576-9797",
            "fax_number": "314-469-7517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5551 Winghaven Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633683630",
            "country_code": "US",
            "telephone_number": "314-576-9797",
            "fax_number": "314-469-7517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Hilltop Village Center Dr",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630251108",
            "country_code": "US",
            "telephone_number": "314-576-9797",
            "fax_number": "314-469-7517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEFFREY",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "105776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203848007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.