JEREMY PHILLIPPE BROADNAX M.D.
NPI 1326204611
Anesthesiology - Pain Medicine in Saint Louis, MO

Q: What is Jeremy Broadnax's NPI number?

The NPI number for Jeremy Broadnax is 1326204611. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Q: What is Jeremy Broadnax's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Broadnax was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment

12700 SOUTHFORK RD STE 155, SAINT LOUIS, MO 63128(314) 525-7780(314) 525-7795 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 8, 2025, Aug 1, 2019, Jun 27, 2018 (3 updates tracked since 2018).

On this page

About Jeremy Phillippe Broadnax M.d. NPPES

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

JEREMY PHILLIPPE BROADNAX M.D. (NPI 1326204611) is an individual pain medicine provider in Saint Louis, Missouri, licensed in Missouri (2013031744) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2008).

NPPES Registry Identity

NPI1326204611

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameJEREMY PHILLIPPE BROADNAXCredential: M.D.

Location Address12700 SOUTHFORK RD STE 155Saint Louis, MO 63128-3276

Mailing Address12700 Southfork Rd Ste 155Saint Louis, MO 63128-3276 · (314) 525-7780 · Fax (314) 525-7795

Phone(314) 525-7780

Fax(314) 525-7795

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2008

Enumeration DateAugust 6, 2008

Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1326204611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in MO · 2013031744

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 2013031744 (MO)

12700 SOUTHFORK RD STE 155, Saint Louis, MO 63128

Open in Google Maps ↗

Other Identifiers 4

Medicaid200332001AR

Other431560263MO · Tricare

Medicaid1326204611MO

OtherP01246688MO · Rr Mcr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Phillippe Broadnax M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345475430

PECOS Enrollment IDI20131025001047

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.

Medicare Billing Reassignments

Medicare enrollment records show Jeremy Broadnax reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Pain Management, LLC

34 mi

Pain Medicine

851 E 5TH ST STE 208
Washington, MO 63090

Reassigned Medicare billing, Missouri enrollment
25 clinicians in this Medicare group

NPI 1942636980 (636) 390-8097

Mercy Clinic Springfield Communities

63 mi

Rural Health

114 DOWNEY PL
Cuba, MO 65453

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1245277631 (Missouri)
1,487 clinicians in this Medicare group

NPI 1063541704 (573) 885-3358

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

108 services75 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

97 services67 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

87 services62 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

77 services63 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

61 services56 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

60 services55 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

54 services36 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

54 services32 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

50 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services24 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

24 services23 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

19 services17 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

19 services17 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

18 services15 patients

Aspiration and/or injection of fluid from large joint 20610

17 services15 patients

Injection of substance into lower spine canal using imaging guidance 62323

16 services16 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

16 services11 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

16 services11 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

15 services13 patients

Injection of trigger points, 3 or more muscles 20553

14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260077

Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County

Emergency services

Other Providers at the Same Location NPPES

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

DR. RAFID RAHMAN MD

Physical Medicine & Rehabilitation

12700 SOUTHFORK RD STE 155
SAINT LOUIS, MO 63128

St. Louis County (314) 525-7780

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 Jeremy Broadnax's NPI number?

The NPI number for Jeremy Broadnax is 1326204611. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Jeremy Broadnax located?

Jeremy Broadnax practices at 12700 Southfork Rd Ste 155, Saint Louis, MO 63128. The listed phone number is (314) 525-7780.

What is Jeremy Broadnax's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Jeremy Broadnax enrolled in Medicare?

Yes. Jeremy Broadnax is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeremy Broadnax's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Broadnax reassigns Medicare benefits to 2 organizations: Mercy Clinic Pain Management, LLC (Washington, MO) and Mercy Clinic Springfield Communities (Cuba, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Broadnax's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Broadnax accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 2 other insurers list Jeremy Broadnax as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeremy Broadnax affiliated with any hospitals?

According to CMS data, Jeremy Broadnax is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Jeremy Broadnax was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.