Active NPI
Brett Thomas Morris
- Student in an Organized Health Care Education/Training Program
- Saint Louis, MO
National Provider Identifier
1952111601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2015024366
- Practice address
- 4921 Parkview PL
Saint Louis, MO 63110-1032 - Phone
- (314) 747-9011
- NPI assigned
- Jan 13, 2025
- Last updated
- Jan 19, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2015024366 | MO | Primary |
Addresses
Primary practice location
4921 Parkview PL
Saint Louis, MO 63110-1032
Mailing address
652 Moffett Laurel Dr
O Fallon, MO 63367-5024
Phone (417) 766-0083
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015024366 | MO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737244800000",
"number": "1952111601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 MOFFETT LAUREL DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633675024",
"telephone_number": "417-766-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 PARKVIEW PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101032",
"telephone_number": "314-747-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "BRETT",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-19",
"certification_date": "2025-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2015024366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.