MEDICARE: DR. BRENDAN P LUCEY 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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	2005010628	MO
2	2084N0400X	Neurology Physician	2005010628	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619000965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDAN P LUCEY MD

Provider Business Mailing Address
First Line	:	PO BOX 7412011
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-2011
Country	:	US
Telephone Number	:	314-362-1408
Fax Number	:	314-747-4342

Provider Business Practice Location Address
First Line	:	1600 S BRENTWOOD BLVD
Second Line	:	DIV NEUROLOGY SLEEP MED, STE 600
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-1320
Country	:	US
Telephone Number	:	314-362-1408
Fax Number	:	314-747-4342

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	04/17/2025

Similar Medicare Providers

1386633360 — DR. TERRI LYNN RIUTCEL MD
Practice Location Address:

1600 S BRENTWOOD BLVD , DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO
63144-1320

Practice Phone: 314-362-1408
Practice Fax: 314-747-4342

1063475523 — DR. JEAN E BIRMINGHAM M.D.
Practice Location Address:

1600 S BRENTWOOD BLVD , SUITE 100
SAINT LOUIS, MO
63144-1320

Practice Phone: 314-918-8827
Practice Fax: 314-918-9391

1437112570 — SUSAN E ADAMS M.D.
Practice Location Address:

1600 S BRENTWOOD BLVD , SUITE 100
SAINT LOUIS, MO
63144-1320

Practice Phone: 314-918-8827
Practice Fax: 314-918-9391

1942226188 — DR. AMY D BERTELSON PHD
Practice Location Address:

1600 S BRENTWOOD BLVD , DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO
63144-1320

Practice Phone: 314-362-1408
Practice Fax: 314-747-4342

1710905435 — DR. KELVIN A YAMADA MD
Practice Location Address:

1600 S BRENTWOOD BLVD , SUITE 600
SAINT LOUIS, MO
63144-1320

Practice Phone: 314-362-4342
Practice Fax: 314-747-3813

1669531125 — MR. THOMAS W JENKINS PA
Practice Location Address:

1600 S BRENTWOOD BLVD , DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO
63144-1320

Practice Phone: 314-362-1408
Practice Fax: 314-747-4342

Directions to “ DR. BRENDAN P LUCEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.