Raymond a Brickhouse DPM LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

RAYMOND A BRICKHOUSE DPM LLC

Practice address

1479 US Highway 61
Festus, MO 63028-4161

Phone

(314) 381-1800

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Angelo Brickhouse Jr., DPMNPI 1437314812

Title

Ceo

Phone

(314) 381-1800

Specialties & licenses 1

Addresses

Tax ID family

Raymond a Brickhouse DPM LL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Raymond a Brickhouse DPM LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1609624147
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Angelo Brickhouse Jr., D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1437314812
  NPD (past) Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1831947183",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284161",
            "telephone_number": "314-381-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A BRICKHOUSE DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "BRICKHOUSE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-381-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pulido
• Pulmonary and Critical Care Associates PC
• Douglas Rademaker
• Rehan Rafiq, M.D.
• Rachel Ray
• Raymond a. Brickhouse DPM LLC
• Ariel Reaves
• Shrenika Gunukula Reddy, M.D.
• Kelsey Reed
• Ashley N Reese, RNCPNP

• Non-Pharmacy Dispensing Site in Festus, MO
• Providers in Festus, MO by specialty
• Non-Pharmacy Dispensing Site in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.