Active NPI
David Brink, MD
- Pediatric Pathology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- 108189
- Practice address
- 1402 S Grand Blvd
Saint Louis, MO 63104-1004 - Phone
- (314) 566-7697
- Fax
- (314) 977-7615
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 108189 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036103867 | IL | |
| Pediatric Pathology Physician | 207ZP0213X | 108189 | MO | Primary |
| Pediatric Pathology Physician | 207ZP0213X | 036103867 | IL |
Addresses
Primary practice location
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Mailing address
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 566-7697
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbrink6370@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | dbrink6370@direct-ehr-ssmhc.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Saint Louis University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8475
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
- SSM Health St Mary'S Hospital - St Louis
- SSM St Clare Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103867 | IL | MD | Pediatric Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Children'S Hospital | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Cytopathology | Current | Accepting new patients |
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101
1402 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8762
Interoperability endpoints
- dbrink6370@direct-ehr-ssmhc.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Anatomic Pathology & Clinical Pathology, IL
-
- Pediatrics Physician
- O Fallon, IL
- NPI 1174577670
Cytopathology, MO
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1922054196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-566-7697",
"fax_number": "314-977-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-566-7697",
"fax_number": "314-977-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINK",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "108189",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036103867",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "MO",
"license": "108189",
"primary": true
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "IL",
"license": "036103867",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbrink6370@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dbrink6370@direct-ehr-ssmhc.com",
"address_1": "1402 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041004",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "dbrink6370@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1402 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041004",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.