Active NPI
Raymond a. Brickhouse, DPM LLC
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
National Provider Identifier
1780137356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2008026233
- Legal business name
- RAYMOND A. BRICKHOUSE, DPM LLC
- Practice address
- 3535 S Jefferson Ave Ste 2
Saint Louis, MO 63118-3930 - Phone
- (314) 381-1802
- Fax
- (866) 927-4145
- NPI assigned
- Jul 29, 2016
- Organization subpart
- Yes
- Parent organization
- RAYMOND A. BRICKHOUSE, DPM LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond A Brickhouse Jr., DPM
- Title
- Owner
- Phone
- (314) 381-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2008026233 | MO | Primary |
Addresses
Primary practice location
3535 S Jefferson Ave Ste 2
Saint Louis, MO 63118-3930
Mailing address
6400 Clayton Rd Ste 412
Saint Louis, MO 63117-1850
Phone (314) 381-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437314812 | Medicaid | MO |
National Provider Directory
National Provider Directory- Part of
- Raymond a Brickhouse DPM LL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469750400000",
"number": "1780137356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 CLAYTON RD STE 412",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171850",
"telephone_number": "314-381-1800",
"fax_number": "866-927-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S JEFFERSON AVE STE 2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183930",
"telephone_number": "314-381-1802",
"fax_number": "866-927-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND A. BRICKHOUSE, DPM LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RAYMOND A. BRICKHOUSE, DPM LLC",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A",
"authorized_official_last_name": "BRICKHOUSE",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-381-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "2008026233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437314812",
"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 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.