Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Medical Group

Organization Family Medicine Physician · NPI 1104432806

Jefferson Medical Group is a Family Medicine Physician in Brunswick, Missouri. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

807 E Broadway St
Brunswick, MO 65236-1468
Phone: (660) 542-1695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1104432806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesley Delaney — Chief Financial Officer · (660) 542-1695
NPI enumeratedSeptember 17, 2020
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address1502 N Jefferson St, Carrollton, MO 64633-1948