MEDICARE: BRANDON LEWIS TROJANOWSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	2025028812	MO

General Provider Information

NPI Number	:	1619618840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON LEWIS TROJANOWSKI MD

Provider Business Mailing Address
First Line	:	660 S EUCLID AVE # 8504
Second Line	:	MAILBOX 8504
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1010
Country	:	US
Telephone Number	:	314-286-1700
Fax Number	:	314-747-6777

Provider Business Practice Location Address
First Line	:	4444 FOREST PARK AVE STE 2600
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2212
Country	:	US
Telephone Number	:	314-286-1700
Fax Number	:	314-747-6777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2022
Last Update Date	:	02/03/2026

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