Gravois Boulevard LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GRAVOIS BOULEVARD LLC

Practice address

5045 Gravois Ave
Saint Louis, MO 63116-2342

Phone

(314) 435-1577

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Endy Beganovic

Title

Co-Owner

Phone

(314) 435-1577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1629940499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 GRAVOIS AVE # A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162342",
            "telephone_number": "314-435-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 GRAVOIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162342",
            "telephone_number": "314-435-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVOIS BOULEVARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "BEGANOVIC",
        "authorized_official_first_name": "ENDY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "314-435-1577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Celeste Graves, SLP
• Dawn Graves
• Jeffrey Paul Graves, MD
• Jonah Michael Graves, MD
• Christopher Graviss
• Allegra D Grawer, LCSW
• Maria Christine Gray-Storf, ANP
• Margaret Rosanna Gray-Swain, MD
• Brandi Gray
• Britni Gray

• Non-emergency Medical Transport (VAN) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.