| David E Bryan, MD | |
|
3165 Mckelvey Rd Ste 102, Bridgeton, MO 63044-2550 | |
| (314) 408-3244 | |
| Not Available |
| Full Name | David E Bryan |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 28 Years |
| Location | 3165 Mckelvey Rd Ste 102, Bridgeton, 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 | 2004006659 (Missouri) | Primary |
| 208800000X | Urology | 036155656 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Of St Louis Inc | 6204723786 | 111 |
| Urology Of St Louis Inc | 6204723786 | 111 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
| 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 Po Box 14369, Saint Louis, MO 63178-4369 Ph: (314) 567-6071 | David E Bryan, MD 3165 Mckelvey Rd Ste 102, Bridgeton, MO 63044-2550 Ph: (314) 408-3244 |
Christopher D Jaeger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3165 Mckelvey Rd Ste 102, Bridgeton, MO 63044 Phone: 314-408-3244 | |
Dr. Cayce Nawaf, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 201, Bridgeton, MO 63044 Phone: 314-209-5135 |