NPIMap

Organization Active NPI

Microsurgery and Brain Research Institute, P.C.

  • Specialist
  • Saint Louis, MO
National Provider Identifier
1689691636
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MICROSURGERY AND BRAIN RESEARCH INSTITUTE, P.C.
Practice address
10012 Kennerly Rd Ste 400
Saint Louis, MO 63128-2197
Phone
(314) 543-5999
Fax
(314) 543-5994
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mrs. Kathy M Cochran
Title
Patient Accounts
Phone
(314) 543-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MO Primary

Addresses

Primary practice location

10012 Kennerly Rd Ste 400
Saint Louis, MO 63128-2197

Mailing address

10012 Kennerly Rd Ste 400
Saint Louis, MO 63128-2197
Phone (314) 543-5999

Other identifiers 2

IdentifierTypeStateIssuer
CQ2147OtherILRAILROAD MEDICARE
CQ2147OtherMORAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1035 Bellevue Ave
Ste 320
Saint Louis, MO 63117
Phone (314) 543-5998

6725 Chippewa St
Saint Louis, MO 63109
Phone (314) 644-7111

10012 Kennerly Rd
#2147
Saint Louis, MO 63128

Practitioners & affiliated clinicians

Practitioners 7

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1689691636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-543-5999",
            "fax_number": "314-543-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-543-5999",
            "fax_number": "314-543-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROSURGERY AND BRAIN RESEARCH INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "314-543-5999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ2147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ2147",
            "state": "MO"
        }
    ],
    "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 Feb 5, 2008; 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.