Blake Andrew Bruton (NPI# 1245644152, PAC ID# 5890916951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1245644152 |
| PAC ID by PECOS | 5890916951 |
| Professional Enrollment ID | I20170530000303 |
| Full Name | Blake Andrew Bruton |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Address |
11133 Dunn Rd Saint Louis MO 63136-6163 |
| Phone Number | 3146535000 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5395643209 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 3146535000 | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip A Brewer | Internal Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| Raphael Anthony Carter | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1451 N Gardner St, Scottsburg, IN 47170-7751 |
| Kent S Sutterer | Osteopathic Manipulative Medicine | Southeastern Emergency Physicians of Memphis LLC | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| William Langston Jr. | Pediatric Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| Aton Lindon Martin Osbourne | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| J Scott Ries | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Jared L Ross | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| David W Burnside | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Tamarrah C Davis | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| Street Address |
11133 DUNN RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63136-6163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dia Milazzo | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Yunhong Zhang | Anesthesiology | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Sylvia G Hoormann | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Michelle L Heffron | Certified Clinical Nurse Specialist (cns) | Washington University | 11133 Dunn Rd, Saint Louis, MO 63136-6119 |
| Melissa J Lueking | Hospitalist | Physician Groups Lc | 11133 Dunn Rd, Suite 2427, Saint Louis, MO 63136-6163 |
| Meghan E Greaves | Anesthesiology Assistant | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Hermance Fortune | Nurse Practitioner | Southeastern Emergency Services of Memphis PC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Suresh Basnet | Critical Care (intensivists) | Washington University | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Christine E Nance | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Jared L Ross | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanika C Mcclary | Nurse Practitioner | 10135 W Florissant Ave, Saint Louis, MO 63136-2103 | |
| Bhajan S Dara | Internal Medicine | Metro St Louis Renal Services Inc | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 |
| Pradeep A Chandra | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 2880 Netherton Dr, Suite 102, Saint Louis, MO 63136-4649 |
| Akinrinola Fatoki | Family Medicine | 2880 Netherton Dr, Suite 200, Saint Louis, MO 63136-4649 | |
| Reynal L Caldwell | General Practice | 2880 Netherton Dr, Suite 103, Saint Louis, MO 63136-4649 | |
| Meredith A Schoene | Nurse Practitioner | David J. Pernikoff, Md, PC | 2865 Netherton, St Louis, MO 63136-4674 |
| Juan O Carden | Hematology/oncology | 2865 Netherton Dr, Saint Louis, MO 63136-4674 | |
| Kamil Dostalik | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Steven M Mense | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Michael P Tuckey | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Find all physicians in zip 63136 | |||
| City | SAINT LOUIS |
| Zip Code | 63136 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAINT LOUIS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Blake Andrew Bruton.
| 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.