STEPHEN R BRADDOCK MD
NPI 1811934490
Medical Genetics - Clinical Genetics (M.D.) in St. Louis, MO

Q: What is Stephen Braddock's NPI number?

The NPI number for Stephen Braddock is 1811934490. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Stephen Braddock's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Braddock was last updated on January 15, 2021. 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.

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

1465 S GRAND BLVD, ST. LOUIS, MO 63104(314) 577-5639(314) 268-4112 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2021, Jan 5, 2021, Apr 17, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Stephen R Braddock Md NPPES

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

STEPHEN R BRADDOCK MD (NPI 1811934490) is an individual clinical genetics (m.d.) provider in St. Louis, Missouri, licensed in Missouri (106085) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of University Of Missouri, Columbia School Of Medicine (1984).

NPPES Registry Identity

NPI1811934490

Entity TypeIndividualMale

Primary Taxonomy207SG0201X

Provider Legal NameSTEPHEN R BRADDOCKCredential: MD

Location Address1465 S GRAND BLVDSt. Louis, MO 63104-1003

Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5639 · Fax (314) 268-4112

Phone(314) 577-5639

Fax(314) 268-4112

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1984

Enumeration DateJune 1, 2006

Last NPPES UpdateJanuary 15, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2021

✔ NPI 1811934490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

License✔ Licensed in MO · 106085

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedPediatricsTaxonomy 208000000X · License MD106085 (MO)

1465 S GRAND BLVD, St. Louis, MO 63104

Open in Google Maps ↗

Other Identifiers 2

Medicaid762132VA

Medicaid207684309MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.Insurance ›

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

Stephen R Braddock Md 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 ID2062414717

PECOS Enrollment IDI20100817001459

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.

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.09

Promoting Interoperability

100

Improvement Activities

Cost

54.28

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. SARAH MARGARET HANLY PH.D.

Psychologist (Clinical)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5667

KAVIPRIYA KOMESWARAN

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 617-2000

ALEXIS HAAS STEWART

Anesthesiologist Assistant

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 977-5700

NATALIE DRURY RD, LD

Dietitian, Registered (Nutrition, Pediatric)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5387

TIMOTHY J KUTZ MD

Pediatrics (Child Abuse Pediatrics)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-6406

CHRISTOPHER SALLEE MD

Pediatrics

1465 S GRAND BLVD
ST. LOUIS, MO 63104

St. Louis City (314) 577-1607

AMBER GRANA DO

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5695

DR. ETHAN EMIL PFEIFER MD

Student in an Organized Health Care Education/Training Program

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-4070

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 Stephen Braddock's NPI number?

The NPI number for Stephen Braddock is 1811934490. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Stephen Braddock located?

Stephen Braddock practices at 1465 S Grand Blvd, St. Louis, MO 63104. The listed phone number is (314) 577-5639.

What is Stephen Braddock's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Stephen Braddock enrolled in Medicare?

Yes. Stephen Braddock 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.

What insurance does Stephen Braddock accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Stephen Braddock 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 Stephen Braddock affiliated with any hospitals?

According to CMS data, Stephen Braddock is affiliated with Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Stephen Braddock was last updated on January 15, 2021. 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.