| Bradley R Gregg, MD | |
|
300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
| (636) 947-5000 | |
| (636) 947-5090 |
| Full Name | Bradley R Gregg |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 300 1st Capitol Dr, Saint Charles, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871549626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 115136 (Missouri) | Primary |
| Entity Name | Emergency Physicians of St Lukes LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley R Gregg, MD 1836 Lackland Hill Pkwy, Attn: Credentialing, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | Bradley R Gregg, MD 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (636) 947-5000 |
Dr. Michael Eligio Fritsche, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 625 Bemis Heights Pl, Saint Charles, MO 63303 Phone: 636-939-9717 |
Anthony W Jennings, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5000 Fax: 636-949-7273 |
Dr. Brian Aaron Weisenberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5111 |
Robert E Abbott, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5000 Fax: 636-947-5090 |
Janene C Sparks, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5000 Fax: 636-947-5090 |
Cody Alan Pace, ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 S Kingshighway St, Saint Charles, MO 63301 Phone: 636-538-1944 |
Jaclyn Kloecker, EMT-CP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Docs Ct, Saint Charles, MO 63303 Phone: 314-952-9094 |