MRS. BRANDY LADORA MACON PA-C
NPI 1285157958
Physician Assistant in Saint Louis, MO

Q: What is Brandy Macon's NPI number?

The NPI number for Brandy Macon is 1285157958. It was assigned to this individual provider in the NPPES registry on July 24, 2017. The provider is also known as Miss Brandy Macon Eugene.

Q: What is Brandy Macon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandy Macon was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 24, 2017

4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107(314) 814-8700(314) 898-1773 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017 (2 updates tracked since 2017).

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About Mrs. Brandy Ladora Macon Pa-c NPPES

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

MRS. BRANDY LADORA MACON PA-C (NPI 1285157958) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2017025341) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1285157958

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. BRANDY LADORA MACONCredential: PA-C

Location Address4414 N FLORISSANT AVESaint Louis, MO 63107-1812

Mailing Address4414 N Florissant AveSaint Louis, MO 63107-1812 · (314) 814-8700 · Fax (314) 898-1773

Phone(314) 814-8700

Fax(314) 898-1773

Sole ProprietorNo

Enumeration DateJuly 24, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1285157958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MO · 2017025341✔ Licensed in IL · 085006152

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

4414 N FLORISSANT AVE, Saint Louis, MO 63107

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Other Names 1

Former Name (1)Miss Brandy Macon Eugene

Other Providers at the Same Location NPPES 16

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

VALERIE HIGGINBOTHAM WHNP-BC

Clinical Nurse Specialist (Women's Health)