Healthcare Provider Details

I. General information

NPI: 1639019680
Provider Name (Legal Business Name): BRIAN EVERETT BARNHART HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 S 5TH ST
SAINT CHARLES MO
63301-2911
US

IV. Provider business mailing address

330 DEVONSHIRE CT
SAINT PETERS MO
63376-1544
US

V. Phone/Fax

Practice location:
  • Phone: 636-487-5881
  • Fax:
Mailing address:
  • Phone: 636-487-5881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2026005757
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: