Individual provider Active NPI

Bryan Matthew Rasch, D.C.

  • Chiropractor
  • Bridgeton, MO
National Provider Identifier
1982760377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002010529 Issued in MO
Practice address
3452 McKelvey Rd
Bridgeton, MO 63044-2533
Phone
(314) 739-8841
Fax
(314) 739-6043
NPI assigned
Dec 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2002010529 MO Primary

Addresses

Primary practice location

3452 McKelvey Rd
Bridgeton, MO 63044-2533

Mailing address

550 Schrader Farm Dr
Saint Peters, MO 63376-4527
Phone (314) 739-8841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000032 MO Practitioner - Chiropractic 8325192479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Smart Pain Solutions LLCGroup PAC ID 4284815721, 4 clinicians

Practice addresses (Care Compare)

11901 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Phone (314) 298-1400

7508 Big Bend Blvd
Saint Louis, MO 63119-2104
Phone (314) 721-5390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002010529MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Pain Solutions LLC Chiropractor Current Accepting new patients

Locations

11901 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 298-1400

11901 Saint Charles Rock Rd
#R
Bridgeton, MO 63044
Phone (314) 298-1400

225 S Meramec Ave
Ste 306
Saint Louis, MO 63105
Phone (314) 720-5390

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982760377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SCHRADER FARM DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764527",
            "telephone_number": "314-739-8841",
            "fax_number": "314-739-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442533",
            "telephone_number": "314-739-8841",
            "fax_number": "314-739-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCH",
        "first_name": "BRYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002010529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.