DR. BRIAN HUGH REYNOLDS (NPI# 1588669196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588669196 |
| Entity Type | Individual |
| Full Name | DR. BRIAN HUGH REYNOLDS |
| Credential | D.M.D. |
| Practice Address |
103 Virginia Ave O Fallon IL 62269-2447 |
| Practice Telephone | 6186325566 |
| Practice Fax Number | 6186325852 |
| Mailing Telephone | 6186325566 |
| Mailing Fax Number | 6186325852 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740453828 | Brian W. Reynolds | Audiologist | 11950 Bob Mitchell Dr, El Paso, TX 79936-4553 | 2008-04-09 |
| 1568528016 | Brian F. Reynolds | Psychologist | 9 Damonmill Sq Ste 3a1, Concord, MA 01742-2864 | 2006-12-29 |
| 1255853586 | Brian Patrick Reynolds II | Pharmacist | 3176 S Eufaula Ave, Eufaula, AL 36027-4406 | 2017-07-07 |
| 1477636900 | Brian T Reynolds | Emergency Medicine | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2006-10-20 |
| 1467533927 | Brian Reynolds | Psychiatry & Neurology | 4110 Guadalupe St, Attn: Reimbursement Dept., Austin, TX 78751-4223 | 2006-10-18 |
| 1407810963 | Brian Edward Reynolds | Family Medicine | 669 Agency Main St, Harlem, MT 59526-9455 | 2006-04-13 |
| Street Address |
103 VIRGINIA AVE |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544024 | Anne Bollmeier | Dentist | 2010 W Highway 50, O Fallon, IL 62269-1628 | 2014-06-30 |
| 1356632350 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3445 Pheasant Meadow Dr, O Fallon, MO 63368-7324 | 2011-04-25 |
| 1518134238 | O'fallon Dental Partnership, Barry Brace, Dmd and Associates, LLC | Dentist | 2940 Highway K, O Fallon, MO 63368-7861 | 2008-05-12 |
| 1033383997 | Sherryl Schoening Dds II PC | Dentist | 9210 Phoenix Village Pkwy, O Fallon, MO 63368-4779 | 2008-04-22 |
| 1912109646 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3011 Winghaven Blvd, O Fallon, MO 63368-3600 | 2007-06-04 |
| 1851412985 | Dennis L Schulze | Dentist | 4001 Highway K, O Fallon, MO 63368-8136 | 2007-04-03 |
| 1700932464 | Thomas D. Jordan, Dds, PC | Dentist | 346 Fort Zumwalt Sq, O Fallon, MO 63366-3065 | 2007-01-26 |
| 1831252519 | Frank J Meier | Dentist | 2726 Highway K, O Fallon, MO 63368-7884 | 2006-12-18 |
| 1720146525 | William Paul Burns Sr. | Dentist | 2315 Technology Dr, Suite 101, O Fallon, MO 63368-7370 | 2006-12-05 |
| 1750453429 | Jennifer Wilson Hershey | Dentist | 8803 Veterans Memorial Pkwy, O Fallon, MO 63366-7540 | 2006-11-15 |
| Find all providers in O FALLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.