Active NPI
Bryar A Bequette, PA-C
- Medical Physician Assistant
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2019017143
- Practice address
- 901 Patients First Dr Ste 2000
Washington, MO 63090-4700 - Phone
- (636) 390-1684
- Fax
- (636) 231-3644
- NPI assigned
- Jun 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2019017143 | MO | Primary |
Addresses
Primary practice location
901 Patients First Dr Ste 2000
Washington, MO 63090-4700
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (636) 390-1684
Other practice location 1
452 Sovereign Ct
Ballwin, MO 63011-4447
Phone (314) 238-6527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191014003656 | MO | Practitioner - Physician Assistant | 4587995048 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
901 Patients First Dr
Ste 2000
Washington, MO 63090
Phone (636) 239-7344
851 E 5th St
Ste 228
Washington, MO 63090
Phone (636) 239-0018
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Rural Health Clinic/Center
- Sullivan, MO
- NPI 1467716928
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Rural Health Clinic/Center
- Winfield, MO
- NPI 1386040178
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospitals East Communities
Practice addresses (Care Compare)
901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8000
Hospital & facility affiliations
- Mercy Hospital Washington
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1972161206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084",
"telephone_number": "636-390-1684",
"fax_number": "636-231-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR STE 2000",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-390-1684",
"fax_number": "636-231-3644"
}
],
"practiceLocations": [
{
"address_1": "452 Sovereign Ct",
"address_purpose": "LOCATION",
"city": "Ballwin",
"state": "MO",
"postal_code": "630114447",
"country_code": "US",
"telephone_number": "314-238-6527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEQUETTE",
"first_name": "BRYAR",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-01",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MO",
"license": "2019017143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.