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BRANDON GREGORY MD
NPI 1104515790
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since May 01, 2023PECOS Enrolled
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-3390 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Gregory Md NPPES

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

BRANDON GREGORY MD (NPI 1104515790) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104515790
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON GREGORYCredential: MD
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1225 S Grand BlvdSaint Louis, MO 63104-1016
Phone(314) 257-3390
Sole ProprietorYes
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1104515790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1225 S GRAND BLVD, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Gregory Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW RUSSELL SMEDS MD
Surgery (Vascular Surgery)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4730
MARIANA SAID
Optometrist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2600
HEATHER ESCHBACH DO
Internal Medicine
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6100
LUTHER J WILLMORE MD
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6082
ANDRES ALEJANDRO MATA HIDALGO MD
Hospitalist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2650
DR. GUILLERMO LINARES M.D.
Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4800
RAMA BANDLAMUDI ATLURI M.D.
Internal Medicine (Rheumatology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8836
HENRY CHARLES IDEKER MD
Otolaryngology
1225 S GRAND BLVD, GARDEN LEVEL, DOOR 3
ST LOUIS, MO 63104
St. Louis City (314) 577-8884

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 Brandon Gregory's NPI number?

The NPI number for Brandon Gregory is 1104515790. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Brandon Gregory located?

Brandon Gregory practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 257-3390.

What is Brandon Gregory's specialty?

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

Is Brandon Gregory enrolled in Medicare?

Yes. Brandon Gregory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Gregory was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.