Organization Active NPI

Raymond a. Brickhouse DPM LLC

  • Durable Medical Equipment & Medical Supplies
  • Festus, MO
National Provider Identifier
1780432229
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

3933 S Broadway
#A
Saint Louis, MO 63118
Phone (314) 865-7913

6400 Clayton Rd
Ste 412
Saint Louis, MO 63117
Phone (314) 381-1800

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.