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

Timothy P. Brotherton Jr., MD

Individual provider Gastroenterology Physician · NPI 1053930586

Timothy P. Brotherton Jr., MD is a Hospitalist in Chesterfield, Missouri. Qualified in 2019, 7 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2020
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

17298 N Outer 40 Rd Ste 200
Chesterfield, MO 63005-1456
Phone: (314) 529-4900
Fax: (314) 434-2679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 2023010843 (MO)

Record details

NPI number1053930586
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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