Basic Information
| Provider Information | |||||||||
| NPI: | 1669421590 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOERSTERLING | ||||||||
| FirstName: | BRETT | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 23340 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631563340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3146479444 | ||||||||
| FaxNumber: | 3146477317 | ||||||||
| Practice Location | |||||||||
| Address1: | 1031 BELLEVUE AVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631171818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3146479444 | ||||||||
| FaxNumber: | 3146477317 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2006 | ||||||||
| LastUpdateDate: | 10/24/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 110730 | MO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0000188677609 | 01 | MO | UHC | OTHER | 120803 | 01 | MO | BCBS | OTHER | 5168697 | 01 | MO | AETNA | OTHER | 75695810 | 01 | MERCY MC PLUS | OTHER | 752695810FOE | 01 | MO | MERCY | OTHER | 305958 | 01 | MO | GHP | OTHER | 4077985 | 01 | MO | CIGNA | OTHER | 000000014988 | 01 | MO | ESSENCE | OTHER | 415918 | 01 | MO | HEALTHLINK | OTHER |