BRIAN MARTIN (NPI# 1336105873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336105873 |
| Entity Type | Individual |
| Full Name | BRIAN MARTIN |
| Credential | DPM |
| Practice Address |
2315 Dougherty Ferry Rd Suite 110 Saint Louis MO 63122-3383 |
| Practice Telephone | 3149091920 |
| Practice Fax Number | 3149091980 |
| Mailing Telephone | 3149091920 |
| Mailing Fax Number | 3149091980 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2011-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005263 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2004019390 | MO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003106188 | Brian K Martin | Specialist/Technologist, Other | 958 Ashland Blvd, Channelview, TX 77530-2608 | 2011-04-11 |
| 1144542457 | Brian T. Martin | Physician Assistant | 340 4th Ave Ste 7a, Chula Vista, CA 91910-3813 | 2010-02-28 |
| 1205949963 | Brian Patrick Martin | Chiropractor | 605 Se 164th Ave Ste 101, Vancouver, WA 98684-9297 | 2006-08-16 |
| 1639182843 | Brian Christopher Martin | Physician Assistant | 1505 Soquel Drive, Suite 12, Santa Cruz, CA 95065-1716 | 2006-08-15 |
| 1619996618 | Brian Paul Martin | Pharmacist | Central Pharmacy, 1505 26th Avenue East, Bradenton, FL 34208 | 2006-07-19 |
| 1942249420 | Brian Andrew Martin | Physician Assistant | 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 | 2006-06-06 |
| 1083699086 | Brian Calvin Martin | Dentist | 622 Eagle Rock Ave, Suite 105, West Orange, NJ 07052-2994 | 2005-12-13 |
| 1043835556 | Brian Martin | Behavior Technician | 275 W Natick Rd Ste 400, Warwick, RI 02886-1161 | 2020-06-10 |
| 1477172773 | Brian N. Martin | Hearing Instrument Specialist | 2703 W Cuthbert Ave, Midland, TX 79701-3819 | 2020-04-16 |
| 1477015766 | Brian Michael Martin | Massage Therapist | 7049 Taylorsville Rd Ste A, Huber Heights, OH 45424-3190 | 2019-04-04 |
| Street Address |
2315 DOUGHERTY FERRY RD SUITE 110 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450577 | Kirk E Flury | Internal Medicine | 2315 Dougherty Ferry Rd, Suite 205, Saint Louis, MO 63122-3383 | 2005-07-12 |
| 1366801524 | Brett Stuppy | Physical Therapist | 2315 Dougherty Ferry Rd, Suite 209, Saint Louis, MO 63122-3383 | 2016-02-16 |
| 1053799239 | Crhc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2315 Dougherty Ferry Rd, Saint Louis, MO 63122-3383 | 2015-05-08 |
| 1831594233 | Advanced Sight Center, Inc | Ophthalmology | 2315 Dougherty Ferry Rd, Saint Louis, MO 63122-3383 | 2014-10-28 |
| 1295177970 | Lauren E Vaughn | Physical Therapist | 2315 Dougherty Ferry Rd, Ste 209, Saint Louis, MO 63122-3383 | 2013-07-23 |
| 1912255753 | Primary Care Inc. | Emergency Medicine | 2315 Dougherty Ferry Rd, Saint Louis, MO 63122-3383 | 2012-08-28 |
| 1487918215 | Texas Co Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2315 Dougherty Ferry Rd, Suite 107, Saint Louis, MO 63122-3383 | 2012-06-26 |
| 1518251578 | Christine M Wood | Audiologist | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 | 2011-06-07 |
| 1700180346 | Next Step Foot and Ankle Centers, Inc | Durable Medical Equipment & Medical Supplies | 2315 Dougherty Ferry Rd, Suite 110, Saint Louis, MO 63122-3383 | 2010-12-22 |
| 1386953560 | Jared Glesne | Physical Therapist | 2315 Dougherty Ferry Rd, Suite 209, Saint Louis, MO 63122-3383 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1669745501 | West County Foot and Ankle LLC | Podiatrist | 10004 Kennerly Rd Ste 300a, Saint Louis, MO 63128 | 2012-02-22 |
| 1255620340 | Blackmun Footcare LLC | Podiatrist | 2608 N 14th St, Saint Louis, MO 63106-3913 | 2011-03-29 |
| 1053623058 | Camille Patrice Ryans | Podiatrist | 11056 Oak Spur Ct Apt K, Saint Louis, MO 63146-1973 | 2010-07-07 |
| 1437314812 | Raymond Angelo Brickhouse Jr. | Podiatrist | 3535 S Jefferson Ave Ste 201, Saint Louis, MO 63118-3922 | 2008-07-24 |
| 1114068988 | Dr. Veda E. Lewis-simmons Dpm Mha LLC | Podiatrist | 10421 W Florissant Ave, Saint Louis, MO 63136-2342 | 2007-02-12 |
| 1346389095 | Foot & Ankle Center, LLC | Podiatrist | 11066 Olive Blvd, Saint Louis, MO 63141-7615 | 2007-02-06 |
| 1548325533 | Mid-west Podiatry & Associates, LLC | Podiatrist | 2 Millstone Campus Dr, Saint Louis, MO 63146-5776 | 2006-12-27 |
| 1477668606 | Nicolas Clay Martin | Podiatrist | 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 | 2006-08-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on BRIAN MARTIN.
| 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.