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

Dr. Brendan Manuel Fong, MD

Individual provider Neurological Surgery Physician · NPI 1245670504

Dr. Brendan Manuel Fong, MD is a Neurosurgery in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with Urology of St Louis Inc, a 111-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
13
Licensed in
IL, MO
In the registry since
2013
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

12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663
Phone: (314) 806-1770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3 Saint Elizabeth Blvd Ste 3900, O Fallon, IL 62269-1282 — (314) 806-1770
  • 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 — (888) 828-8608

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 2013020671 (MO)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 036158187 (IL)

Record details

NPI number1245670504
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2013
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Urology Of St Louis Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Saint Louis