Organization Active NPI

Brent R Palmer LC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1396901641
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRENT R PALMER LC
Practice address
2315 Dougherty Ferry Rd
Suite 107
Saint Louis, MO 63122-3383
Phone
(314) 966-7570
Fax
(314) 966-7788
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Brent Palmer
Title
M.D./President
Phone
(314) 966-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2315 Dougherty Ferry Rd
Suite 107
Saint Louis, MO 63122-3383

Mailing address

2315 Dougherty Ferry Rd
Suite 107
Saint Louis, MO 63122-3383

National Provider Directory

National Provider Directory

Locations

1027 S Vandeventer Ave
Fl 4
Saint Louis, MO 63110
Phone (636) 224-1700

801 Medical Dr
Wentzville, MO 63385
Phone (314) 966-7570

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1396901641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223383",
            "telephone_number": "314-966-7570",
            "fax_number": "314-966-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT R PALMER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "314-966-7570"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.