Active NPI
Bryan Matthew Rasch, D.C.
- Chiropractor
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2002010529
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2002010529 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.