Organization Active NPI

Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1770042954
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TOTAL ACCESS URGENT CARE, PC
Practice address
6940 S Lindbergh Blvd
Saint Louis, MO 63125-4219
Phone
(314) 380-8527
Fax
(314) 380-8528
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
TOTAL ACCESS URGENT CARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Matthew BruckelNPI 1942225305
Title
President
Phone
(314) 961-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

6940 S Lindbergh Blvd
Saint Louis, MO 63125-4219

Mailing address

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (314) 238-4660

National Provider Directory

National Provider Directory
Tax ID family
Total Access Urgent Care PC35 organizations share this tax ID, including this one
Part of
Total Access Urgent Care PC

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1770042954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114503",
            "telephone_number": "314-238-4660",
            "fax_number": "314-270-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254219",
            "telephone_number": "314-380-8527",
            "fax_number": "314-380-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ACCESS URGENT CARE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL ACCESS URGENT CARE, PC",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "BRUCKEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-961-2255"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 18, 2019; 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.