City of Brentwood

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

189090 Issued in MO

Legal business name

CITY OF BRENTWOOD

Practice address

2348 S Brentwood Blvd
Brentwood, MO 63144-2034

Phone

(314) 963-8612

Fax

(314) 963-3869

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

John Marcus Herman, EMT-CP

Title

Assistant Fire Chief / Cmo

Phone

(314) 963-8612

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1497736979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 798126",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631798000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 S BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442034",
            "telephone_number": "314-963-8612",
            "fax_number": "314-963-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRENTWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF / CMO",
        "authorized_official_telephone_number": "314-963-8612",
        "authorized_official_credential": "EMT-CP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP PROVIDER NO.",
            "identifier": "30341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCAREUSA PROV. NO.",
            "identifier": "21894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV. #",
            "identifier": "590012547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV NO",
            "identifier": "8181900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "389227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "128050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809739006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Colleen Carroll, ATC
• Angela Marie Cecil, OTR/L
• Kateri Chapman-Kramer
• Daniel John Christy, LPC
• Caroline Cioffi
• Clarkson Optometry Inc
• Clay Scoliosis Clinic LLC
• Rachel Lynn Clay, DPT
• Erynn Elizabeth Coit, MOT, OTR/L
• Ashleigh Arielle Cole

• Land Ambulance in Brentwood, MO
• Providers in Brentwood, MO by specialty
• Land Ambulance in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.