Individual provider Active NPI

Breanne Marie Gould, PA-C

  • Physician Assistant
  • Maryland Heights, MO
National Provider Identifier
1649058058
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2266 Westglen Park Dr
Maryland Heights, MO 63043-4014
Phone
(636) 487-7589
NPI assigned
Sep 18, 2023
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2266 Westglen Park Dr
Maryland Heights, MO 63043-4014

Mailing address

2266 Westglen Park Dr
Maryland Heights, MO 63043-4014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404000417 MO Practitioner - Physician Assistant 0345764932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1001 Southern Ridge LN
Lake Saint Louis, MO 63367-4000
Phone (314) 961-2255

1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255

1090 N Hwy 67 St
Florissant, MO 63031-4720
Phone (314) 961-2255

10923 Olive Blvd
Creve Coeur, MO 63141-7740
Phone (314) 961-2255

12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone (314) 961-2255

13426 Olive Blvd
Chesterfield, MO 63017-3111
Phone (314) 961-2255

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (314) 961-2255

1717 Madison Ave
Washington, MO 63090-4921
Phone (314) 961-2255

1890 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (314) 961-2255

2138 1St Capitol Dr
Saint Charles, MO 63301-5804
Phone (314) 961-2255

2501 Clarkson Rd
Chesterfield, MO 63017-7398
Phone (314) 961-2255

3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255

3909 Mexico Rd
Saint Peters, MO 63376-6408
Phone (314) 961-2255

4201 Hwy K
O Fallon, MO 63368-8230
Phone (314) 961-2255

4400 Telegraph Rd
Saint Louis, MO 63129-3316
Phone (314) 961-2255

507 S Main St
O Fallon, MO 63366-2534
Phone (314) 961-2255

600 Mid Rivers Mall Dr
Saint Peters, MO 63376-2460
Phone (314) 961-2255

7816 Big Bend Blvd
Webster Groves, MO 63119-2702
Phone (314) 961-2255

8961 Page Ave
Overland, MO 63114-6104
Phone (314) 961-2255

915 N Kirkwood Rd
Kirkwood, MO 63122-2665
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Mar 25, 2025 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC PastSince Jan 24, 2021 Accepting new patients
Total Access Urgent Care, PC PastSince Oct 27, 2019 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care P.C. Past Accepting new patients
Total Access Urgent Care, PC PastSince Jul 12, 2020 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC PastSince Apr 11, 2021 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients

Locations

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1649058058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 WESTGLEN PARK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 WESTGLEN PARK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434014",
            "telephone_number": "636-487-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "BREANNE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.