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DEREK CHRISTOPHER BRADDIX
NPI 1588110480
Nurse Practitioner - Family in Saint Louis, MO

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
9717 LANDMARK PARKWAY DR, SAINT LOUIS, MO 63127(775) 423-6400 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2020, Jul 21, 2020, Aug 30, 2016 (3 updates tracked since 2016).

About Derek Christopher Braddix NPPES

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

DEREK CHRISTOPHER BRADDIX (NPI 1588110480) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2016025007) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588110480
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEREK CHRISTOPHER BRADDIX
Location Address9717 LANDMARK PARKWAY DRSaint Louis, MO 63127-1628
Mailing Address1119 Mississippi Ave Apt 115Saint Louis, MO 63104-2457 · (314) 323-5316
Phone(775) 423-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 30, 2016
Last NPPES UpdateSeptember 28, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1588110480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2016025007
9717 LANDMARK PARKWAY DR, Saint Louis, MO 63127
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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 and accepts Medicare assignment

Derek Christopher Braddix 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 ID8729360755
PECOS Enrollment IDI20250603001617, I20260123003263
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

THOMAS EDWARD GARGIULA D.C.
Chiropractor
9717 LANDMARK PARKWAY DR, SUITE 216
SAINT LOUIS, MO 63127
St. Louis County (314) 849-4120
MEIER CLINICS OF MISSOURI, INC.
Counselor (Professional)
9717 LANDMARK PARKWAY DR, SUITE 208
SAINT LOUIS, MO 63127
St. Louis County (630) 653-1717
DR. ANNE B. MAURINA PSY.D.
Psychologist (Clinical)
9717 LANDMARK PARKWAY DR, SUITE 208 (MEIER CLINICS)
SAINT LOUIS, MO 63127
St. Louis County (314) 849-2120
DR. SHAWN REITER DC
Chiropractor
9717 LANDMARK PARKWAY DR, 216
SAINT LOUIS, MO 63127
St. Louis County (314) 849-4120
SANDRA KAY SMITH LPC
Counselor (Professional)
9717 LANDMARK PARKWAY DR, SUITE 208
SAINT LOUIS, MO 63127
St. Louis County (314) 849-2120
VICTORIA DEAN PANNETT M.S., P.L.P.C.
Counselor (Professional)
9717 LANDMARK PARKWAY DR, SUITE 208
SAINT LOUIS, MO 63127
St. Louis County (314) 849-2120
THE HEALTH & WELLNESS CENTER FOR MEN, LLC
Nurse Practitioner (Family)
9717 LANDMARK PARKWAY DR, SUITE 115
SAINT LOUIS, MO 63127
St. Louis County (314) 722-6555
DARLENE L. TRUMBO LPC
Counselor (Professional)
9717 LANDMARK PARKWAY DR, SUITE 208
SAINT LOUIS, MO 63127
St. Louis County (314) 849-2120

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 Derek Braddix's NPI number?

The NPI number for Derek Braddix is 1588110480. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Derek Braddix located?

Derek Braddix practices at 9717 Landmark Parkway Dr, Saint Louis, MO 63127. The listed phone number is (775) 423-6400.

What is Derek Braddix's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Derek Braddix enrolled in Medicare?

Yes. Derek Braddix 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.

When was this NPI record last updated?

The NPPES record for Derek Braddix was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.