Provider Demographics
NPI:1275551913
Name:MEYERS, BRYAN F (MD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:F
Last Name:MEYERS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-7260
Mailing Address - Fax:888-272-2816
Practice Address - Street 1:4500 FOREST PARK AVE
Practice Address - Street 2:DIV SURG CT ADULT THORACIC, 5TH FL
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2114
Practice Address - Country:US
Practice Address - Phone:314-362-7260
Practice Address - Fax:888-272-2816
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO110891208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209792704Medicaid
MO209792704Medicaid
MS121882Medicaid
IL$$$$$$$$$Medicaid
MO031010412Medicaid