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BRIAN TYLER LEACH
NPI 1003373564
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since February 20, 2019
6120 WANDA AVE, SAINT LOUIS, MO 63116(636) 234-4277 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Tyler Leach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN TYLER LEACH (NPI 1003373564) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1003373564
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN TYLER LEACH
Location Address6120 WANDA AVESaint Louis, MO 63116-2225
Mailing Address6120 Wanda AveSaint Louis, MO 63116-2225 · (636) 234-4277
Phone(636) 234-4277
Sole ProprietorNo
Enumeration DateFebruary 20, 2019
✔ NPI 1003373564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
6120 WANDA AVE, Saint Louis, MO 63116
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Leach's NPI number?

The NPI number for Brian Leach is 1003373564. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Brian Leach located?

Brian Leach practices at 6120 Wanda Ave, Saint Louis, MO 63116. The listed phone number is (636) 234-4277.

What is Brian Leach's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brian Leach was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.