Active NPI
Yosef Bilal Bruer, OTD, OTR/L, RBT
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1952817561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2023016977
- Practice address
- 5295 Waterman Blvd Apt B42
Saint Louis, MO 63108-1186 - Phone
- (540) 761-9173
- NPI assigned
- Dec 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056015810 | IL | |
| Occupational Therapist | 225X00000X | 2023016977 | MO | Primary |
Addresses
Primary practice location
5295 Waterman Blvd Apt B42
Saint Louis, MO 63108-1186
Mailing address
1517 W Walnut St
Jacksonville, IL 62650-1133
Phone (217) 243-6451
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 |
|---|---|---|---|
| 056015810 | IL | MD | Occupational Therapist |
| 2023016977 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1952817561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 W WALNUT ST",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501133",
"telephone_number": "217-243-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 WATERMAN BLVD APT B42",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081186",
"telephone_number": "540-761-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUER",
"first_name": "YOSEF",
"middle_name": "BILAL",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L, RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2023-12-12",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056015810",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2023016977",
"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 Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.