Brent R Palmer Lc
Internal Medicine in Saint Louis, MO. Organization (NPI-2).
NPI number1396901641
StatusActive
Last updated in NPPESSep 19, 2012
Details
- NPI
- 1396901641
- Entity type
- Organization (NPI-2)
- Legal business name
- Brent R Palmer Lc
- Organization subpart
- No
- Enumeration date
- Aug 5, 2008
- Last updated
- Sep 19, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
2315 Dougherty Ferry RdSuite 107
Saint Louis, MO 63122-3383
Phone 314-966-7570 · Fax 314-966-7788
Mailing address
2315 Dougherty Ferry RdSuite 107
Saint Louis, MO 63122-3383
Authorized official
Brent Palmer
M.D./President
3149667570
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