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

Bryan James Cannon, MD

Individual provider Family Medicine Physician · NPI 1265662068

Bryan James Cannon, MD is a Family Practice in Wildwood, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2009, 17 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Nebraska.

Years since qualifying
17
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO, NE
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16555 Manchester Rd Ste 100
Wildwood, MO 63040-1220
Phone: (636) 458-0646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2016016732 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 6038 (NE)

Record details

NPI number1265662068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2009
Last updated in NPPESFebruary 8, 2017
Mailing address16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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