Active NPI
Phillip L Brick, M.D.
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1689787459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9N62
- Practice address
- 3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322 - Phone
- (314) 432-1111
- Fax
- (314) 432-2639
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R9N62 | MO | Primary |
Addresses
Primary practice location
3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322
Mailing address
3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322
Phone (314) 432-1111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31227 | Other | MO | BNDD |
| R9N62 | Other | MO | MEDICAL LICENSE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060320000463 | MO | Practitioner - Internal Medicine | 4688681448 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Louis Medical Clinic, P.C.
Practice addresses (Care Compare)
3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 432-1111
Hospital & facility affiliations
- BJC Home Care Services
- Healthy Family Home Care, LLC
- Missouri Baptist Medical Center
- Barnes-Jewish St Peters Hospital
- Barnes Jewish Hospital
- St Lukes Hospital
- SSM Health Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis Medical Clinic, P.C. | Internal Medicine | Current | Accepting new patients |
| Bi-State Medical Consultants, Inc. | Internal Medicine | Past | Accepting new patients |
| Physician Groups LC | Internal Medicine | Past | Accepting new patients |
Locations
1400 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 338-7955
3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796
Interoperability endpoints
- pbrick256785@direct.carenet.org
- https://fhir4.healow.com/fhir/r4/BDDCDD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infusion Therapy Clinic/Center
- Saint Louis, MO
- NPI 1174505127
Internal Medicine, MO
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306972195
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
-
- Home Health Agency
- Saint Louis, MO
- NPI 1326077199
-
- Home Health Agency
- Ellisville, MO
- NPI 1407367477
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1689787459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 100B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312322",
"telephone_number": "314-432-1111",
"fax_number": "314-432-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 100B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312322",
"telephone_number": "314-432-1111",
"fax_number": "314-432-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICK",
"first_name": "PHILLIP",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R9N62",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "31227",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "R9N62",
"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 Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.