Active NPI
Courtney A Brush, FNP
- Nurse Practitioner
- Ballwin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2012005844
- Practice address
- 566 Kehrs Mill Rd
Ballwin, MO 63011-3232 - Phone
- (314) 971-3130
- NPI assigned
- Feb 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 2016000450 | MO | |
| Nurse Practitioner | 363L00000X | 2012005844 | MO | Primary |
| Registered Nurse | 163W00000X | 2012005844 | MO |
Addresses
Primary practice location
566 Kehrs Mill Rd
Ballwin, MO 63011-3232
Mailing address
566 Kehrs Mill Rd
Ballwin, MO 63011-3232
Phone (314) 971-3130
Other practice location 1
607 S New Ballas Rd
Saint Louis, MO 63141-8222
Phone (314) 251-6844
Other practice location 2
10050 Kennerly Rd
Saint Louis, MO 63128-2192
Phone (314) 525-1688
Other names 1
- Courtney Brush
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012005844 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West County Radiological Group, Inc. | Current | Accepting new patients |
Locations
10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688
11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200
607 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4283
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1366781734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 KEHRS MILL RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113232",
"telephone_number": "314-971-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 KEHRS MILL RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113232",
"telephone_number": "314-971-3130"
}
],
"practiceLocations": [
{
"address_1": "607 S New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418222",
"country_code": "US",
"telephone_number": "314-251-6844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10050 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282192",
"country_code": "US",
"telephone_number": "314-525-1688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUSH",
"first_name": "COURTNEY",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "MO",
"license": "2016000450",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2012005844",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2012005844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "BRUSH",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.