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

MS. Bethany Marie Brooks, PA

Individual provider Physician Assistant · NPI 1760060586

MS. Bethany Marie Brooks, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Practices with Missouri Baptist Hospital of Sullivan, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3015 N Ballas Rd Dept Radiology
Saint Louis, MO 63131-2329
Phone: (314) 996-5170
Fax: (314) 996-4261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021017924 (MO)

Record details

NPI number1760060586
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Missouri Baptist Hospital Of Sullivan — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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