Brett Dickinson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2004030203 Issued in MO

Practice address

216 N Lincoln St
Desloge, MO 63601-3524

Phone

(573) 952-8470

Fax

(573) 565-0025

NPI assigned

Dec 22, 2005

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Farmington, MO
  • NPI 1396760062
  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bonne Terre, MO
  • NPI 1952326621
  NPD (past)
• Parkland Women's Health, PC

  dba Scott Snyder, MD

  • Obstetrics & Gynecology Physician
  • Farmington, MO
  • NPI 1336264613
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1942287735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N LINCOLN ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013524",
            "telephone_number": "573-952-8470",
            "fax_number": "573-565-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N LINCOLN ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013524",
            "telephone_number": "573-952-8470",
            "fax_number": "573-565-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2004030203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207380403",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Araneta Cusi, OTRL
• Daleco, Inc. (USA Drug #7638)
• Madison Renee Davis, COTA/L
• Desloge Chiropractic Health Center, LLC
• Desloge Vision Center Inc
• Hannah Jean Mendez Dominguez
• Nicholas Joseph Dupont, PHARMD
• Eastern Missouri General Services Inc
• Michael Christopher Essmyer, D.C.
• Stephen M Forsythe, DO

• Family Medicine Physician in Desloge, MO
• Providers in Desloge, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.