DEREK CHRISTOPHER BRADDIX
NPI 1588110480
Nurse Practitioner - Family in Saint Louis, MO
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Derek Braddix reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63127
- Reassigned Medicare billing, Missouri enrollment
- 6 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 38 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Illinois enrollment
- 64 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Illinois enrollment
- 31 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Illinois and Texas enrollments
- 27 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Missouri enrollment
- 412 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
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.
Which organizations bill Medicare for Derek Braddix's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Braddix reassigns Medicare benefits to 6 organizations: The Health & Wellness Centerr LLC (Saint Louis, MO), Impact Physician Group, Missouri, LLC (Bridgeton, MO), Theoria Medical (Novi, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI) and 1 more organization, listed in the Medicare section above. 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 Derek Braddix's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Derek Christopher Braddix · NPI 1588110480
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since August 30, 2016.
## Identity
- **NPI:** 1588110480 (Entity type: Individual)
- **Enumerated:** August 30, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016025007 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 9717 LANDMARK PARKWAY DR, Saint Louis, MO 63127-1628
- **Phone:** (775) 423-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): The Health & Wellness Centerr LLC (NPI 1932627486, Saint Louis, MO); Impact Physician Group, Missouri, LLC (NPI 1962971531, Bridgeton, MO); Theoria Medical (NPI 1609362375, Novi, MI); Complexcare Medical Group Midwest H PLLC (NPI 1457144933, Novi, MI); Complexcare Medical Group Midwest M PLLC (NPI 1528851607, Novi, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1588110480) · Data from the CMS NPPES public registry.