Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Brandy Ladora Macon, PA-C

Individual provider Physician Assistant · NPI 1285157958

Mrs. Brandy Ladora Macon, PA-C is a Physician Assistant in Saint Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2017.

Licensed in
IL, MO
In the registry since
2017
Specialties on file
3
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

4414 N Florissant Ave
Saint Louis, MO 63107-1812
Phone: (314) 814-8700
Fax: (314) 898-1773
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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 2017025341 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085006152 (IL)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1285157958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2017
Last updated in NPPESJuly 21, 2022

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