Individual provider · Type 1 NPI

Breanne Marie Gould, PA-C

Physician Assistant · St. Louis, MO

NPI number 1649058058 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-1906 Map

Mailing address

2266 Westglen Park Dr
Maryland Heights, MO 63043-4014

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2025008969 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649058058

Breanne Marie Gould, PA-C's National Provider Identifier is 1649058058, issued on Sep 18, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 29, 2026.