Active NPI
Brian Louis Lebo, M.D.
- Emergency Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2007038171
- Practice address
- 1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003 - Phone
- (314) 362-1242
- NPI assigned
- Mar 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2007038171 | MO | Primary |
| Emergency Medicine Physician | 207P00000X | 2004025521 | MO |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Mailing address
11108 Leisure LN
Saint Louis, MO 63146-5309
Phone (314) 395-0079
Other practice location 1
100 Medical Plz
Lake St Louis, MO 63367-1366
Phone (636) 625-5200
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004025521 | MO | MD | Emergency Medicine Physician |
| 2007038171 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital South | Current | Accepting new patients | |
| St Louis Pathology Assoc Inc. | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital South | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| SSM Health Care St. Louis | Emergency Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Emergency Medicine
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Emergency Medicine
-
- Home Health Agency
- Festus, MO
- NPI 1396748588
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1194778415
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1740307602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11108 LEISURE LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631465309",
"telephone_number": "314-395-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101003",
"telephone_number": "314-362-1242"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Plz",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633671366",
"country_code": "US",
"telephone_number": "636-625-5200",
"fax_number": "636-625-5314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBO",
"first_name": "BRIAN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2007038171",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2004025521",
"primary": false
}
],
"identifiers": [],
"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 Dec 16, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.