Bryar A Bequette, PA-C
Physician Assistant, Medical in Washington, MO. Individual provider (NPI-1).
NPI number1972161206
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1972161206
- Entity type
- Individual (NPI-1)
- Name
- Bryar A Bequette
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2019
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2019017143 | MO | Yes |
Practice location
901 Patients First Dr Ste 2000Washington, MO 63090-4700
Phone 636-390-1684 · Fax 636-231-3644
Mailing address
Po Box 776084Chicago, IL 60677-6084
Phone 636-390-1684 · Fax 636-231-3644
Other practice locations
452 Sovereign Ct
Ballwin, MO 63011-4447
Ballwin, MO 63011-4447
Phone 314-238-6527
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Washington, MO
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- David Morgan, PA-CNPI 1336581685
All 5 Medical Physician Assistant providers in Washington · All 733 providers in Washington
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