Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryon J Witzel, PA-C

Individual provider Physician Assistant · NPI 1528065844

Bryon J Witzel, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2003, 23 years ago. Practices with Mercy Clinic Trauma and General Surgery LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
23
Licensed in
IL, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

621 S New Ballas Rd Ste 3005B
Saint Louis, MO 63141-8232
Phone: (314) 251-7070
Fax: (314) 251-7071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2006034878 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 085-002185 (IL)

Record details

NPI number1528065844
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2005
Last updated in NPPESMarch 3, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mercy Clinic Trauma And General Surgery Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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