David E Bryan, MD | |
111 Saint Lukes Center Dr Ste 40, Chesterfield, MO 63017-3509 | |
(314) 434-3434 | |
(314) 743-1336 |
Full Name | David E Bryan |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 26 Years |
Location | 111 Saint Lukes Center Dr Ste 40, Chesterfield, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578671418 | NPI | - | NPPES |
208361105 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036155656 (Illinois) | Secondary |
208800000X | Urology | 2004006659 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital | Chesterfield, MO | Hospital |
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology Of St. Louis, Inc | 6204723786 | 59 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Entity Name | Urology Of St. Louis, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050629000005 |
Mailing Address | Practice Location Address |
---|---|
David E Bryan, MD 111 Saint Lukes Center Dr Ste 40, Chesterfield, MO 63017-3509 Ph: (131) 443-4343 | David E Bryan, MD 111 Saint Lukes Center Dr Ste 40, Chesterfield, MO 63017-3509 Ph: (314) 434-3434 |
Nimrod Shabtai Barashi Gozal, MD Urology Medicare: Medicare Enrolled Practice Location: 111 Saint Lukes Center Dr Ste 24b, Chesterfield, MO 63017 Phone: 636-685-7830 Fax: 314-590-5971 | |
Anthony E Fathman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, Ste 510s, Chesterfield, MO 63017 Phone: 314-434-3433 Fax: 314-434-6813 | |
John F Mccarthy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Saint Lukes Center Dr Ste 510s, Chesterfield, MO 63017 Phone: 314-434-3433 Fax: 314-743-1336 | |
Steven A Schneider, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Saint Lukes Center Dr Ste 40, Chesterfield, MO 63017 Phone: 314-741-9010 Fax: 314-741-5102 | |
Ronald K Deguerre, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, Ste 510s, Chesterfield, MO 63017 Phone: 314-434-3433 Fax: 314-434-6813 | |
Mrs. Angela Leigh Alt, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 224 S. Woods Mill Rd, Suite 510 South, Chesterfield, MO 63017 Phone: 314-434-6130 Fax: 314-434-1277 |