Individual provider · Type 1 NPI

Brendan Manuel Fong, MD

Neurological Surgery Physician · St. Louis, MO

NPI number 1245670504 Active

Practice location

12855 N 40 Dr Ste 125
St. Louis, MO 63141-8663

Mailing address

12855 N 40 Dr Ste 375
St. Louis, MO 63141-8657

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000X036158187 (IL)
Neurological Surgery Physician Primary 207T00000X2013020671 (MO)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

8 other providers at this address

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About NPI 1245670504

Brendan Manuel Fong, MD's National Provider Identifier is 1245670504, issued on Jul 1, 2013. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 10, 2023.