Brandi Street (NPI# 1760821946, PAC ID# 6800181678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760821946 |
| PAC ID by PECOS | 6800181678 |
| Professional Enrollment ID | I20160818002576 |
| Full Name | Brandi Street |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
172 Professional Pkwy Troy MO 63379-2823 |
| Phone Number | 6364626106 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 261319 | LINCOLN COUNTY MEDICAL CENTER |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 172 Professional Pkwy, Troy, MO 63379-2823 | 6364626106 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
172 PROFESSIONAL PKWY |
| City | TROY |
| State | MO |
| Zip | 63379-2823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy C Stowell | Family Medicine | Ssm Medical Group Inc | 172 Professional Pkwy, Troy, MO 63379-2823 |
| Ann E Wieman | Podiatry | Ssm Medical Group Inc | 172 Professional Pkwy, Troy, MO 63379-2823 |
| Jessica E Niehoff | Nurse Practitioner | Ssm Medical Group Inc | 172 Professional Pkwy, Troy, MO 63379-2823 |
| Gregory I Gabliani | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 172 Professional Pkwy, Troy, MO 63379-2823 |
| Megan Elizabeth Renner | Family Medicine | Ssm Medical Group Inc | 172 Professional Pkwy, Troy, MO 63379-2823 |
| Lorie Campbell | Nurse Practitioner | Ssm Medical Group Inc | 172 Professional Pkwy, Troy, MO 63379-2823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren N Carter | Chiropractic | Carter Family Chiropractic | 101 W College St, Suite 2, Troy, MO 63379-1124 |
| William T Hogarth | Chiropractic | 101 W College St, Suite 2, Troy, MO 63379-1124 | |
| Erica Patton | Chiropractic | 101 W College St, Suite 2, Troy, MO 63379-1124 | |
| Jessica M Downs | Optometry | Advanced Eyecare of Winfield LLC | 43 Ellis Ave, Troy, MO 63379-1151 |
| Stanley M Miller | Chiropractic | 241 Front St, Troy, MO 63379-1306 | |
| Christy M Hawkins | Nurse Practitioner | Hawkins Compassionate Care Clinic, LLC | 107 B N Lincoln Dr, Troy, MO 63379-1315 |
| Allan C Genteman | Family Medicine | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Jeremy Talley | Family Medicine | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Bhavana Choudhary | Critical Care (intensivists) | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Judith A Moran | Certified Registered Nurse Anesthetist (crna) | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Find all physicians in zip 63379 | |||
| City | TROY |
| Zip Code | 63379 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TROY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brandi Street.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.