Active NPI
Raymond a. Brickhouse DPM LLC
- Durable Medical Equipment & Medical Supplies
- Festus, MO
National Provider Identifier
1780432229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RAYMOND A. BRICKHOUSE DPM LLC
- Practice address
- 168 Industrial Dr
Festus, MO 63028-4133 - Phone
- (314) 381-1800
- Fax
- (314) 442-7749
- NPI assigned
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Angelo Brickhouse, DPM
- Title
- Owner
- Phone
- (314) 381-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
168 Industrial Dr
Festus, MO 63028-4133
Mailing address
1479 US Highway 61 Ste B
Festus, MO 63028-4162
National Provider Directory
National Provider DirectoryLocations
8790 Watson Rd
Ste 103
Saint Louis, MO 63119
Phone (314) 252-0708
3933 S Broadway
#A
Saint Louis, MO 63118
Phone (314) 865-7913
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Festus, MO
- NPI 1639174659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1780432229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 US HIGHWAY 61 STE B",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 INDUSTRIAL DR",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284133",
"telephone_number": "314-381-1800",
"fax_number": "314-442-7749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND A. BRICKHOUSE DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "BRICKHOUSE",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "ANGELO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-381-1800",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.