Provider Demographics
NPI:1669421590
Name:FOERSTERLING, BRETT D (MD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:D
Last Name:FOERSTERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 23340
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63156-3340
Mailing Address - Country:US
Mailing Address - Phone:314-647-9444
Mailing Address - Fax:314-647-7317
Practice Address - Street 1:1031 BELLEVUE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1818
Practice Address - Country:US
Practice Address - Phone:314-647-9444
Practice Address - Fax:314-647-7317
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO110730207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0000188677609OtherUHC
MO120803OtherBCBS
MO5168697OtherAETNA
75695810OtherMERCY MC PLUS
MO752695810FOEOtherMERCY
MO305958OtherGHP
MO4077985OtherCIGNA
MO000000014988OtherESSENCE
MO415918OtherHEALTHLINK
MO120803OtherBCBS
75695810OtherMERCY MC PLUS
MO752695810FOEOtherMERCY