Individual provider Active NPI

Robert Brinkman, M.D.

  • Internal Medicine Physician
  • Bridgeton, MO
National Provider Identifier
1942212378
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8109 Issued in MO
Practice address
12255 De Paul Dr
Suite 400N
Bridgeton, MO 63044
Phone
(314) 291-1499
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R8109 MO
Internal Medicine Physician 207R00000X R8109 MO Primary

Addresses

Primary practice location

12255 De Paul Dr
Suite 400N
Bridgeton, MO 63044

Mailing address

1040 N Mason Rd Ste 211
Creve Coeur, MO 63141-6366
Phone (314) 291-1499

Other practice location 1

12255 De Paul Dr
Suite 400N
Bridgeton, MO 63044-2510
Phone (314) 291-1499

Other practice location 2

12255 De Paul Dr
Suite 400N
Bridgeton, MO 63044-2510
Phone (314) 291-1499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1942212378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 211",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-291-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR",
            "address_2": "SUITE 400N",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-291-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12255 De Paul Dr",
            "address_2": "Suite 400N",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442510",
            "country_code": "US",
            "telephone_number": "314-291-1499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12255 De Paul Dr",
            "address_2": "Suite 400N",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442510",
            "country_code": "US",
            "telephone_number": "314-291-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R8109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.