Individual provider Active NPI

Bree Ann Goodman, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1942733290
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2021017223 Issued in MO
Practice address
4901 Forest Park Ave
Div OBGYN MFM and US, Ste 710
Saint Louis, MO 63108-1495
Phone
(314) 454-8181
Fax
(314) 747-1429
NPI assigned
Apr 4, 2017
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2021017223 MO Primary

Addresses

Primary practice location

4901 Forest Park Ave
Div OBGYN MFM and US, Ste 710
Saint Louis, MO 63108-1495

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-8181

Other identifiers 1

IdentifierTypeStateIssuer
200061480MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210712000814 MO Practitioner - Obstetrics/Gynecology 2365844586 Reassigns benefits to 3 organizations
I20241014003462 IL Practitioner - Obstetrics/Gynecology 2365844586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians
Miracl LLCGroup PAC ID 4587908041, 96 clinicians

Practice addresses (Care Compare)

1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 362-7200

1000 W 10TH St
Phelps Health
Rolla, MO 65401-2905
Phone (573) 364-9000

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

1060 W 10TH St
Phelps Health Delbert Day Cancer Institute
Rolla, MO 65401-2905
Phone (855) 406-3324

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-6000

3023 N Ballas Rd
Suite 450
Saint Louis, MO 63131-2358
Phone (314) 996-6000

4901 Forest Park Ave
Saint Louis, MO 63108-1495

660 S Euclid Ave
St Louis, MO 63110-1010

900 E Walnut St
Suite 5
Carbondale, IL 62901-3132
Phone (314) 454-8181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
76.14
Promoting interoperability
99
Improvement activities
40
Cost
76.43

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miracl, LLC CurrentSince Jan 16, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Aug 15, 2024 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Washington University Obstetrics & Gynecology CurrentSince Jul 7, 2021 Accepting new patients
Washington University Physicians in Illinois, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Washington University CurrentSince Jul 7, 2021 Accepting new patients
Washington University Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients

Locations

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

900 E Walnut St
Ste 5
Carbondale, IL 62901
Phone (618) 519-9182

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1 Barnes Jew Hosp Plz
Saint Louis, MO 63110
Phone (314) 362-2462

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

3023 N Ballas Rd
Ste 450D
Saint Louis, MO 63131
Phone (314) 286-2400

4901 Forest Park Ave
Ste 341
Saint Louis, MO 63108
Phone (314) 454-7882

4901 Forest Park Ave
Ste 710
Saint Louis, MO 63108
Phone (314) 362-4211

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8064
Saint Louis, MO 63110
Phone (314) 747-8274

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1942733290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-8181",
            "fax_number": "314-747-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FOREST PARK AVE",
            "address_2": "DIV OBGYN MFM AND US, STE 710",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081495",
            "telephone_number": "314-454-8181",
            "fax_number": "314-747-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BREE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-04-17",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2021017223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061480",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4901 Forest Park Ave",
            "address_2": "Div OBGYN MFM and US, Ste 710",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631081495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.