Seth Jonathan Brownridge, M.D.
Individual provider Active NPI Pediatrics Physician · Hazelwood, MO
NPI 1962550319 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1962550319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 36583 (MO)
- Practice address
- 5992 Howdershell Rd Ste 106
Hazelwood, MO 63042-4109 - Phone
- (314) 731-1299
- Fax
- (314) 731-2145
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250304001179 | MO | Practitioner - Pediatric Medicine | 3779004031 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Current |
Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Pediatrics | Current |
Accepting new patients |
| SSM Cardinal Glennon Children'S Hospital | Pediatrics | Current |
Accepting new patients |
| SSM Cardinal Glennon Childrens Hospital | Pediatrics | Current | Accepting new patients |
| SSM Health Care St Louis | Current |
Accepting new patients | |
| Brownridge Pediatrics P.C. | Pediatrics | Past | Accepting new patients |
| Brownridge Pediatrics After Hours P.C. | Pediatrics | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
4129 N Highway 67
Florissant, MO 63034
Phone (314) 355-6390
12800 Corporate Hill Dr
Saint Louis, MO 63131
Phone (314) 989-6430
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
Interoperability endpoints
- sbrownridge23848@direct-ehr-ssmhc.com
- https://api.platform.athenahealth.com/3718/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36583 | MO | Yes |
Addresses
Primary practice location
5992 Howdershell Rd Ste 106
Hazelwood, MO 63042-4109
Mailing address
5992 Howdershell Rd Ste 106
Hazelwood, MO 63042-4109
Phone (314) 731-1299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202258414 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | St. Louis Children's Hospital |
Other providers in Hazelwood, MO
- Jonice Mariano Brown
- Phillip Brown
- Brownridge Pediatrics After Hours P.C.
- Brownridge Pediatrics P.C.
- Earline Abigail Brownridge
- Raegan Bruce-Sanchez
- Jordan Bruns
- Building Bridges Health Care Services LLC
- Building Bridges Home Care Services LLC
- Trenise Burns
All providers in Hazelwood, MO · Pediatrics Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.