Link Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LINK PRIMARY CARE LLC

Practice address

1034 S Brentwood Blvd Ste 530
Richmond Heights, MO 63117-1271

Phone

(314) 798-7422

Fax

(314) 293-6861

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Davis, MD, MBA

Title

Member

Phone

(314) 740-5820

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Edward Bereda, D.O.

  • Family Medicine Physician
  • Richmond Heights, MO
  • NPI 1639319387
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1396347886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 530",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171271",
            "telephone_number": "314-798-7422",
            "fax_number": "314-293-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 530",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171271",
            "telephone_number": "314-798-7422",
            "fax_number": "314-293-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINK PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-740-5820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lawton
• Kimberly Wall Lederman, M.D.
• Christopher Lee
• Raymond L Leung, M.D,
• Jacob Daniel Levy, MD
• Mager & Gougelman of St. Louis, LLC
• Kimberly Marie Marre, M.S., L.D., R.D.
• Cynthia Anne Marsh, LCSW
• Adrianne Martin, MSW, LCSW
• Rebecca Martin, RDN, LD

• Primary Care Clinic/Center in Richmond Heights, MO
• Providers in Richmond Heights, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.