Organization Active NPI

Brennan OB GYN Associate, P.C.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1568578235
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BRENNAN OB GYN ASSOCIATE, P.C.
Practice address
13023 Tesson Ferry Rd
Saint Louis, MO 63128-3480
Phone
(314) 849-3711
Fax
(314) 849-0235
NPI assigned
Aug 22, 2006
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Mrs. Lisa Renee Schobert
Title
Systems Manager
Phone
(314) 849-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

13023 Tesson Ferry Rd
Saint Louis, MO 63128-3480

Mailing address

13023 Tesson Ferry Rd
Saint Louis, MO 63128-3480
Phone (314) 849-3711

National Provider Directory

National Provider Directory

Locations

13023 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 849-3711

13023 Tesson Ferry Rd
Ste 103
Saint Louis, MO 63128
Phone (314) 849-3711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1568578235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13023 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283480",
            "telephone_number": "314-849-3711",
            "fax_number": "314-849-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283480",
            "telephone_number": "314-849-3711",
            "fax_number": "314-849-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNAN OB GYN ASSOCIATE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "SCHOBERT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SYSTEMS MANAGER",
        "authorized_official_telephone_number": "314-849-3711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "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 May 16, 2011; 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.