Brenda L Buckley (NPI# 1134104466, PAC ID# 2365541208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134104466 |
| PAC ID by PECOS | 2365541208 |
| Professional Enrollment ID | I20070619000205 |
| Full Name | Brenda L Buckley |
| Organization Legal Name | PREMIER MEDICAL PHYSICIANS LLC |
| Address |
1747 Smizer Station Rd Suite 5 Fenton MO 63026-2784 |
| Phone Number | 6365297000 |
| Gender | F |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6507129699 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260081 | SSM ST CLARE HEALTH CENTER |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 | 6365297000 | PREMIER MEDICAL PHYSICIANS LLC |
| Organization Legal Name | PREMIER MEDICAL PHYSICIANS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent P Fortunato | Internal Medicine | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| Anahit Danielyan | Internal Medicine | Premier Medical Physicians LLC | 2315 Dougherty Ferry Rd, Suite 109a, Saint Louis, MO 63122-3383 |
| David Kantor | Family Medicine | Premier Medical Physicians LLC | 2325 Dougherty Ferry Rd, Suite 104, Saint Louis, MO 63122-3356 |
| Michele Neudecker | Nurse Practitioner | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| James Ginther Jr. | Internal Medicine | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| Kellie Hopkins | Nurse Practitioner | Premier Medical Physicians LLC | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 |
| Street Address |
1747 SMIZER STATION RD SUITE 5 |
| City | FENTON |
| State | MO |
| Zip | 63026-2784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorenelle Lofquist | Chiropractic | 1747 Smizer Station Rd, Suite 4, Fenton, MO 63026-2784 | |
| Brittany Jean Miller Warren | Chiropractic | 1747 Smizer Station Rd, Suite 4, Fenton, MO 63026-2784 | |
| William E Pearson | Obstetrics/gynecology | 1747 Smizer Station Rd, Suite 1, Fenton, MO 63026-2784 | |
| Kellie Hopkins | Nurse Practitioner | Premier Medical Physicians LLC | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brenda L Buckley.
| 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.