Individual provider Active NPI

Rebecca M Brandsted, MD

  • Otolaryngology Physician
  • Kirkwood, MO
National Provider Identifier
1699714121
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2004000617 Issued in MO
Practice address
1001 S Kirkwood Rd Ste 320
Kirkwood, MO 63122-7254
Phone
(314) 965-9184
NPI assigned
Jun 6, 2006
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2004000617 MO Primary

Addresses

Primary practice location

1001 S Kirkwood Rd Ste 320
Kirkwood, MO 63122-7254

Mailing address

PO Box 14369
Saint Louis, MO 63178-4369
Phone (314) 729-0077

Other identifiers 1

IdentifierTypeStateIssuer
2004000617OtherMOMO LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060720000356 MO Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 6103839972 Reassigns benefits to 3 organizations
I20260527001916 IL Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 6103839972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Kansas School of Med (KC/Wich/Sal), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

12855 N 40 Dr
125 Neurosurgery of St Louis
Saint Louis, MO 63141-8663
Phone (314) 806-1770

12855 N 40 Dr
Arch Cancer Care
Saint Louis, MO 63141-8622
Phone (314) 523-5444

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.86 of 100Reported as individual
Quality
98.11
Promoting interoperability
93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
Quality
55.68
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Mercy Hospital Perry CurrentSince Jan 12, 2026 Accepting new patients
Urology of St. Louis, Inc. PastSince Mar 24, 2025 Accepting new patients

Locations

212 Hospital Ln
Ste 202
Perryville, MO 63775
Phone (573) 331-3333

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

1001 S Kirkwood Rd
Ste 320
Saint Louis, MO 63122
Phone (314) 722-4545

1010 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 238-2535

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1699714121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14369",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631784369",
            "telephone_number": "314-729-0077",
            "fax_number": "314-729-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S KIRKWOOD RD STE 320",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227254",
            "telephone_number": "314-965-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDSTED",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2004000617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE NUMBER",
            "identifier": "2004000617",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

Verify at the official NPI Registry.