Organization Active NPI

Raymond a Brickhouse DPM LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
National Provider Identifier
1609624147
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RAYMOND A BRICKHOUSE DPM LLC
Practice address
8790 Watson Rd Ste 103
Saint Louis, MO 63119-5140
Phone
(314) 381-1800
Fax
(314) 442-7749
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Raymond Angelo Brickhouse, DPMNPI 1437314812
Title
Owner
Phone
(314) 381-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8790 Watson Rd Ste 103
Saint Louis, MO 63119-5140

Mailing address

8790 Watson Rd Ste 103
Saint Louis, MO 63119-5140

National Provider Directory

National Provider Directory
Tax ID family
Raymond a Brickhouse DPM LL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1609624147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-381-1800",
            "fax_number": "314-442-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A BRICKHOUSE DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "BRICKHOUSE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-381-1800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 May 9, 2024; 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.