Active NPI
Braxton Henry Degarmo, M.D.
- Emergency Medicine Physician
- Saint Louis, MO
National Provider Identifier
1396781852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R7F46
- Practice address
- 433 Carson Rd
Saint Louis, MO 63135-2317 - Phone
- (314) 522-3957
- Fax
- (314) 522-3957
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R7F46 | MO | Primary |
Addresses
Primary practice location
433 Carson Rd
Saint Louis, MO 63135-2317
Mailing address
433 Carson Rd
Ferguson, MO 63135-2317
Phone (314) 229-2939
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202273637 | Medicaid | MO | |
| 202273629 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Hospitalmd of Troy Ip, Inc. | Past | Accepting new patients | |
| Hospitalmd of Troy, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Farmington, MO
- NPI 1396760062
-
- Emergency Medicine Physician
- Sullivan, MO
- NPI 1679598247
-
- Emergency Medicine Physician
- Bonne Terre, MO
- NPI 1952326621
-
- Hospitalist Physician
- Troy, MO
- NPI 1548582778
-
- Emergency Medical Services (Emergency Medicine) Physician
- Troy, MO
- NPI 1558683789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454716800000",
"number": "1396781852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 CARSON RD",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631352317",
"telephone_number": "314-229-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 CARSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631352317",
"telephone_number": "314-522-3957",
"fax_number": "314-522-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGARMO",
"first_name": "BRAXTON",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2016-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R7F46",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202273637",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202273629",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.